Plöger Ruben, Condic Mateja, Ralser Damian J, Plöger Hannah M, Egger Eva K, Otten Lucia A, Mustea Alexander
Department of Gynecology and Gynecological Oncology, University Hospital Bonn, 53127 Bonn, Germany.
Department of Paediatrics, University Hospital Bonn, 53127 Bonn, Germany.
J Clin Med. 2023 Sep 12;12(18):5923. doi: 10.3390/jcm12185923.
The assessment of ovarian perfusion after detorsion is crucial in the surgical management of patients with ovarian torsion. In current routine clinical practice, the surgical decision (preservation of the ovary versus oophorectomy) is based on the subjective impression of the surgeon. Intraoperative indocyanine green (ICG) angiography has been shown to sufficiently reflect tissue perfusion with a potential impact on the surgical procedure. Currently, there are only sparse data available on the utilization of ICG in the surgical treatment of ovarian torsion. Here, we describe the successful intraoperative use of ICG in a 17-year-old female patient with ovarian torsion who underwent ovary-preserving surgery. Further, a systematic literature review was performed. Based on the data available to date, the use of ICG in the surgical treatment of ovarian torsion is feasible and safe. The extent to which this might reduce the necessity for oophorectomy has to be evaluated in further investigations.
扭转复位后卵巢灌注的评估对于卵巢扭转患者的手术治疗至关重要。在当前的常规临床实践中，手术决策（保留卵巢还是卵巢切除术）基于外科医生的主观判断。术中吲哚菁绿（ICG）血管造影已被证明能充分反映组织灌注，并可能对外科手术产生影响。目前，关于ICG在卵巢扭转手术治疗中的应用仅有稀少的数据。在此，我们描述了ICG在一名接受保留卵巢手术的17岁卵巢扭转女性患者术中的成功应用。此外，还进行了系统的文献综述。基于目前可得的数据，ICG在卵巢扭转手术治疗中的应用是可行且安全的。其在多大程度上可能减少卵巢切除术的必要性有待进一步研究评估。
