Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin, Israel.
J Minim Invasive Gynecol. 2010 Mar-Apr;17(2):205-8. doi: 10.1016/j.jmig.2009.12.011.
To assess the efficacy of oophoropexy in obviating recurrent torsion and its possible long-term effects.
Case series and review of the literature (Canadian Task Force classification III).
University hospital.
Women who underwent oophoropexy for recurrent torsion of normal adnexa between 2003 and 2008.
Retrieved information included the indication for oophoropexy, surgical methods, recurrence, and follow-up. Seven women underwent oophoropexy during the study period because of recurrent torsion of normal adnexa. One additional patient had experienced 3 torsion events of cystic adnexa. Surgical methods included suturing of the ovary to the pelvic sidewall or to the round ligament and plication of the utero-ovarian ligaments. Recurrence occurred in 1 of 6 patients for whom follow-up was available. All 6 patients reported spontaneous menstruation, and 2 conceived spontaneously and gave birth. Ultrasound at long-term follow-up (9-58 months) demonstrated normal ovaries.
Oophoropexy seems to be efficacious in preventing recurrent torsion. It is our impression that plication of the utero-ovarian ligaments has advantages over other approaches insofar as surgical feasibility and anatomical conservation.
评估卵巢固定术预防卵巢扭转复发的疗效及其可能的长期效果。
病例系列和文献回顾（加拿大转化研究能力分级 III 级）。
大学医院。
2003 年至 2008 年间因正常附件反复发生扭转而接受卵巢固定术的女性。
检索的信息包括卵巢固定术的适应证、手术方法、复发和随访情况。研究期间，7 名女性因正常附件反复发生扭转而接受卵巢固定术。另有 1 名患者曾经历过 3 次囊性附件扭转事件。手术方法包括将卵巢缝合到骨盆侧壁或圆韧带，以及将子宫卵巢韧带折叠。随访的 6 名患者中有 1 名复发。所有 6 名患者均报告自然月经，其中 2 名自然妊娠并分娩。长期随访（9-58 个月）的超声显示卵巢正常。
卵巢固定术似乎能有效预防卵巢扭转复发。我们的印象是，与其他方法相比，子宫卵巢韧带折叠术具有手术可行性和解剖保留方面的优势。
