Ovarian bivalving after detorsion.
OBJECTIVE
To assess the efficacy of a new technique, ovarian bivalving, on facilitating adnexal recovery after adnexal torsion.


METHODS
Retrospective case series.


METHODS
Academic medical center.


METHODS
Five patients undergoing conservative surgical management of adnexal torsion at the Children's Hospital, Boston, Massachusetts, from May 1999 to April 2000.


METHODS
Performance of ovarian bivalving after untwisting of adnexal torsion.


METHODS
Sonographic appearance of adnexa after ovarian bivalving, and postoperative complications.


RESULTS
After surgical treatment, four of five patients undergoing untwisting of adnexa and ovarian bivalving had sonographically confirmed normal follicular function; in three of five cases, it was confirmed with Doppler arterial flow. There were no postoperative complications.


CONCLUSIONS
After the untwisting of ischemic adnexa, ovarian bivalving is an effective technique to decrease ovarian intracapsular pressure, increase arterial perfusion, and facilitate adnexal reperfusion and recovery.
Styer
Aaron K
AK
Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA.
Laufer
Marc R
MR
D000290:Adnexa Uteri / Q000098:blood supply / Q000000981:diagnostic imaging; D000291:Adnexal Diseases / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D001158:Arteries / Q000000981:diagnostic imaging; D002648:Child; D005260:Female; D006801:Humans; D006080:Ovarian Follicle / Q000503:physiopathology; D010053:Ovary / Q000601:surgery*; D012039:Regional Blood Flow; D012189:Retrospective Studies; D014102:Torsion Abnormality; D016896:Treatment Outcome; D014463:Ultrasonography