This video demonstrates Laparoscopic Surgery for Torsion of Ovarian Cyst by Dr. R.K. Mishra at World Laparoscopy Hospital. Ovarian torsion is when the ovary twists around its stalk. The blood vessels to the ovary are located in this stalk. The twisting cuts off the blood supply to the ovary, causing the ovary to possibly die. The Fallopian tube can also be involved in the twist. Ovarian torsion is the fifth most common emergency of the female reproductive organs. Sometimes a mass or cyst in the ovary can cause twisting. If the stalk of the ovary is long, it may also lead to torsion.

Ovarian torsion is a serious gynecological emergency that occurs when an ovary twists around the ligaments that support it. This twisting can cut off blood flow to the ovary and sometimes the fallopian tube, leading to severe pain, potential ovarian damage, and in some cases, loss of ovarian function. Early diagnosis and prompt treatment are crucial to save the ovary and prevent complications.

What Causes Ovarian Torsion?

Ovarian torsion is often associated with ovarian cysts or masses. Large cysts can make the ovary heavier or unbalanced, increasing the risk of twisting. Other risk factors include:

Ovarian cysts (especially those >5 cm)

Ovarian tumors (benign or rarely malignant)

Hormonal treatments that stimulate the ovaries

Pregnancy, which can change the position of the ovary

Symptoms of Ovarian Torsion

The primary symptom is sudden, severe lower abdominal pain, usually on one side. Other common signs include:

Nausea and vomiting

Abdominal tenderness

Fever in some cases

Pain radiating to the back or thigh

Because these symptoms overlap with other conditions such as appendicitis or kidney stones, imaging studies like ultrasound or Doppler scans are often used to confirm the diagnosis.

Role of Laparoscopic Surgery

Laparoscopic surgery, also known as minimally invasive surgery, is the preferred method for treating ovarian torsion. It offers several advantages over traditional open surgery:

Smaller incisions, leading to minimal scarring

Faster recovery and shorter hospital stay

Reduced postoperative pain

Better preservation of ovarian function

The Surgical Procedure

Preparation: The patient is placed under general anesthesia.

Laparoscopic Access: Small incisions (usually 0.5–1 cm) are made in the abdomen to insert a laparoscope and surgical instruments.

Detorsion: The surgeon carefully untwists the ovary to restore blood flow.

Cyst Management: If a cyst is present, it may be removed (cystectomy) while preserving the ovary.

Assessment: The ovary is checked for viability. In rare cases where the ovary is severely damaged, removal (oophorectomy) may be necessary.

Closure: Incisions are closed, and the patient is monitored during recovery.

Recovery After Laparoscopic Surgery

Patients usually experience mild pain for a few days, which can be managed with medication. Most can return to normal activities within 1–2 weeks, and full recovery is typically achieved in 3–4 weeks.

Conclusion

Ovarian torsion is a gynecological emergency that requires immediate attention. Laparoscopic surgery is a safe and effective approach, allowing for rapid diagnosis, treatment, and ovarian preservation. Women experiencing sudden abdominal pain, nausea, or vomiting should seek medical care promptly to prevent complications.

For more detail and training: https://www.laparoscopyhospital.com/wlhusa.html