Nagel T C, Sebastian J, Malo J W
Reproductive Health Associates, P.A., 360 Sherman Street, Suite 350, St. Paul, MN 55102, USA.
J Am Assoc Gynecol Laparosc. 1997 Aug;4(4):495-8. doi: 10.1016/s1074-3804(05)80046-5.
Laparoscopic oophoropexy may prevent recurrent (repeat torsion of the same ovary) or sequential (subsequent torsion of the contralateral ovary) ovarian torsion. Two adolescent girls with sequential ovarian torsion underwent laparoscopic plication of utero-ovarian ligaments. Neither patient has had recurrence in the 6. 5 and 2 years, respectively, since surgery. Sequential ovarian torsion has been described,1-8 and in almost every instance the authors raised the question of whether or not oophoropexy should have been done at the time of the initial episode of torsion. In virtually every instance the second ovary was removed and the patient rendered menopausal. In two patients with sequential ovarian torsion the ovary was saved and oophoropexy performed laparoscopically in an effort to prevent recurrence.
腹腔镜卵巢固定术可能预防复发性（同一卵巢再次扭转）或相继性（对侧卵巢随后扭转）卵巢扭转。两名患有相继性卵巢扭转的青春期女孩接受了腹腔镜子宫卵巢韧带折叠术。自手术以来，分别在6.5年和2年里，两名患者均未复发。相继性卵巢扭转已有报道，[1 - 8] 而且几乎在每一个病例中，作者们都提出了在首次扭转发作时是否应该进行卵巢固定术的问题。几乎在每一个病例中，第二个卵巢都被切除，患者进入绝经状态。在两名患有相继性卵巢扭转的患者中，卵巢得以保留，并通过腹腔镜进行卵巢固定术以预防复发。
