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Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors 被引量:6

Surgical high ligation of the ovarian vein and preservation of ovarian function for twisted ovarian tumors
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摘要 Background Appendectomy is the traditional surgica pulmonary embolism, ovarian necrosis, and secondary Methods We performed surgery for adnexal torsion removal of the ovarian tumor. procedure for correcting torsion of the adnexa. Although it prevents nfection, it can have critical adverse effects on the ovarian function. in 12 patients, using high ligation of the ovarian vein, followed by Results Blood flow in the residual ovary gradually returned to normal within 1-3 months, and a dominant follicle could be seen in the residual ovary within 2-6 months post-surgery in all the 12 cases. Menstruation recovered in these three cases within 2-3 months. Postoperative intrauterine pregnancies occurred in two cases, with a corpus luteum graviditatis in the residual ovary in one case, while the other patient underwent labor after 13 months and a normal ovary on the affected side was seen at cesarean section. Conclusions This new surgical technique involving high ligation of the ovarian vein for adnexal torsion allowed successful preservation of the residual ovary and ovarian blood distribution, and can thus be used for the treatment of primary diseases of the ovary. The surgical procedure is simple, safe, and effective, and warrants extensive application inclinical practice. Background Appendectomy is the traditional surgica pulmonary embolism, ovarian necrosis, and secondary Methods We performed surgery for adnexal torsion removal of the ovarian tumor. procedure for correcting torsion of the adnexa. Although it prevents nfection, it can have critical adverse effects on the ovarian function. in 12 patients, using high ligation of the ovarian vein, followed by Results Blood flow in the residual ovary gradually returned to normal within 1-3 months, and a dominant follicle could be seen in the residual ovary within 2-6 months post-surgery in all the 12 cases. Menstruation recovered in these three cases within 2-3 months. Postoperative intrauterine pregnancies occurred in two cases, with a corpus luteum graviditatis in the residual ovary in one case, while the other patient underwent labor after 13 months and a normal ovary on the affected side was seen at cesarean section. Conclusions This new surgical technique involving high ligation of the ovarian vein for adnexal torsion allowed successful preservation of the residual ovary and ovarian blood distribution, and can thus be used for the treatment of primary diseases of the ovary. The surgical procedure is simple, safe, and effective, and warrants extensive application inclinical practice.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2012年第20期3744-3746,共3页 中华医学杂志(英文版)
关键词 adnexal torsion LIGATION ovarian vein new surgical technique adnexal torsion ligation ovarian vein new surgical technique
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  • 1Erdemoglu M, Kuyumcuoglu U, Ouzel AI. Clinical experience of adnexal torsion: evaluation of 143 cases. J Exp TherOncoI201l;9: 171-174.
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