IMR Press / CEOG / Volume 48 / Issue 5 / DOI: 10.31083/j.ceog4805175
Open Access Original Research
Oophoropexy to prevent adnexal torsion recurrence in children
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1 Department of Pediatric Urology, Fuzhou Children’s Hospital, 350001 Fuzhou, Fujian, China
*Correspondence: (Jian-Sheng Wei)
Clin. Exp. Obstet. Gynecol. 2021, 48(5), 1089–1093;
Submitted: 11 January 2021 | Revised: 6 February 2021 | Accepted: 2 March 2021 | Published: 15 October 2021
Copyright: © 2021 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license (

Background: Adnexal torsion in Children is a rare event, and oophoropexy for the prevention of adnexal torsion in children is still controversial. The aim of this study was to analyze how retorsion can be prevented. Method: We performed a retrospective review of hospital charts of all patients aged 0–18 years with a diagnosis of adnexal torsion at the fuzhou Children’s Hospital at Fujian province, from august 2014 to august 2019. Result: In total, 10 patients were included in the study. The average age of the patients was 5.5 years (range: 2 months–10 years). Clinical presentation: included pain(n = 9), vomiting(n = 3), and abdominal mass (n = 1). Surgical procedures included: laparoscopy (LP): cystectomy with detorsion (n = 5); cyst aspiration with detorsion (n = 1), and detorsion with oophoropexy (n = 2). One case underwent salpingo-oophorectomy LP (n = 1), which was converted to open laparotomhy Sapingo-oophorectomy. Recurrence occurred in two cases. Case 5 had recurrent adnexal torsion after oophoropexy with absorbable suture. The second episode was treated with oophoropexy with non-absorbable suture and multiple points fixed. During the operation, the right ovarian ligament was longer, and hypermobile. Case 6 had recurrent cyst aspiration and the second episode was treated with cystectomy with oophoropexy. During the operation, the ovarian ligament was hypermobile. Follow-up: ultrasound showed normal ipsilateral adnexal, and no ovarian atrophy in eight patients. Conclusion: The recurrence of ovarian torsion in children may be caused by ovarian etiology and abnormal ovarian ligaments. Oophoropexy can prevent ovarian retorsion with non-absorbable sutures and multiple points fixed.

Adnexal torsion
2018-56/key Clinical Specialty Discipline Construction Program
Fig. 1.
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