Abstract
| Original language | English |
|---|---|
| Journal | Journal of Pediatric and Adolescent Gynecology |
| DOIs | |
| Publication status | Published - Nov 26 2016 |
Fingerprint
Keywords
- Journal Article
Cite this
Pediatric Ovarian Torsion and its Recurrence. / Bertozzi, Mirko; Esposito, Ciro; Vella, Claudio; Briganti, Vito; Zampieri, Nicola; Codrich, Daniela; Ubertazzi, Michele; Trucchi, Alessandro; Magrini, Elisa; Battaglia, Sonia; Bini, Vittorio; Conighi, Maria Luisa; Gulia, Caterina; Farina, Alessandra; Camoglio, Francesco Saverio; Rigamonti, Waifro; Gamba, Piergiorgio; Riccipetitoni, Giovanna; Chiarenza, Salvatore Fabio; Inserra, Alessandro; Appignani, Antonino.
In: Journal of Pediatric and Adolescent Gynecology, 26.11.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Pediatric Ovarian Torsion and its Recurrence
AU - Bertozzi, Mirko
AU - Esposito, Ciro
AU - Vella, Claudio
AU - Briganti, Vito
AU - Zampieri, Nicola
AU - Codrich, Daniela
AU - Ubertazzi, Michele
AU - Trucchi, Alessandro
AU - Magrini, Elisa
AU - Battaglia, Sonia
AU - Bini, Vittorio
AU - Conighi, Maria Luisa
AU - Gulia, Caterina
AU - Farina, Alessandra
AU - Camoglio, Francesco Saverio
AU - Rigamonti, Waifro
AU - Gamba, Piergiorgio
AU - Riccipetitoni, Giovanna
AU - Chiarenza, Salvatore Fabio
AU - Inserra, Alessandro
AU - Appignani, Antonino
N1 - Copyright © 2016. Published by Elsevier Inc.
PY - 2016/11/26
Y1 - 2016/11/26
N2 - STUDY OBJECTIVE: To report results of a retrospective multicentric Italian survey concerning the management of pediatric ovarian torsion (OT) and its recurrence.DESIGN: Multicenter retrospective cohort study.SETTING: Italian Units of Pediatric Surgery.PARTICIPANTS: Participants were female aged 1-14 years of age with surgically diagnosed OT between 2004 and 2014.INTERVENTIONS: Adnexal detorsion, adnexectomy, mass excision using laparoscopy or laparotomy. Different kinds of oophoropexy (OPY) for OT or recurrence, respectively.MAIN OUTCOME MEASURES: A total of 124 questionnaires were returned and analyzed to understand the current management of pediatric OT and its recurrence. The questionnaires concerned patient age, presence of menarche, OT site, presence and type of mass, performed procedure, OPY technique adopted, intra- and postoperative complications, recurrence and site, procedure performed for recurrence, OPY technique for recurrence, and 1 year follow-up of detorsed ovaries.RESULTS: Mean age at surgery was 9.79 ± 3.54 years. Performed procedures were open adnexectomy (52 of 125; 41.6%), laparoscopic adnexectomy (25 of 125; 20%), open detorsion (10 of 125; 8%), and laparoscopic detorsion (38 of 125; 30.4%). Recurrence occurred in 15 of 125 cases (12%) and resulted as significant (P = .012) if associated with a normal ovary at the first episode of torsion. Recurrence occurred only in 1 of 19 cases after OPY (5.2%). Ultrasonographic results of detorsed ovaries were not significant whether an OPY was performed or not (P = 1.00).CONCLUSION: Unfortunately, oophorectomy and open technique are still widely adopted even if not advised. Recurrence is not rare and the risk is greater in patients without ovarian masses. OPY does not adversely affect ultrasonographic results at 1 year. When possible OPY should be performed at the first episode of OT.
AB - STUDY OBJECTIVE: To report results of a retrospective multicentric Italian survey concerning the management of pediatric ovarian torsion (OT) and its recurrence.DESIGN: Multicenter retrospective cohort study.SETTING: Italian Units of Pediatric Surgery.PARTICIPANTS: Participants were female aged 1-14 years of age with surgically diagnosed OT between 2004 and 2014.INTERVENTIONS: Adnexal detorsion, adnexectomy, mass excision using laparoscopy or laparotomy. Different kinds of oophoropexy (OPY) for OT or recurrence, respectively.MAIN OUTCOME MEASURES: A total of 124 questionnaires were returned and analyzed to understand the current management of pediatric OT and its recurrence. The questionnaires concerned patient age, presence of menarche, OT site, presence and type of mass, performed procedure, OPY technique adopted, intra- and postoperative complications, recurrence and site, procedure performed for recurrence, OPY technique for recurrence, and 1 year follow-up of detorsed ovaries.RESULTS: Mean age at surgery was 9.79 ± 3.54 years. Performed procedures were open adnexectomy (52 of 125; 41.6%), laparoscopic adnexectomy (25 of 125; 20%), open detorsion (10 of 125; 8%), and laparoscopic detorsion (38 of 125; 30.4%). Recurrence occurred in 15 of 125 cases (12%) and resulted as significant (P = .012) if associated with a normal ovary at the first episode of torsion. Recurrence occurred only in 1 of 19 cases after OPY (5.2%). Ultrasonographic results of detorsed ovaries were not significant whether an OPY was performed or not (P = 1.00).CONCLUSION: Unfortunately, oophorectomy and open technique are still widely adopted even if not advised. Recurrence is not rare and the risk is greater in patients without ovarian masses. OPY does not adversely affect ultrasonographic results at 1 year. When possible OPY should be performed at the first episode of OT.
KW - Journal Article
U2 - 10.1016/j.jpag.2016.11.008
DO - 10.1016/j.jpag.2016.11.008
M3 - Article
JO - Journal of Pediatric and Adolescent Gynecology
JF - Journal of Pediatric and Adolescent Gynecology
SN - 1083-3188
ER -