Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis
Diagnosis of adnexial torsion is difficult during pregancy (1). The time of decision and laparoscopy is that of the risk of necrosis of the adnexa and, therefore, of the ovarian prognosis. The loss of an ovary can compromise the following fertility. Even if concerns related to laparoscopy in pregnan...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2017-10-01
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| Series: | Frontiers in Surgery |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fsurg.2017.00050/full |
| _version_ | 1811274797612531712 |
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| author | Jean Bouquet de Joliniere J. B. Dubuisson F. Khomsi A. Fadhlaoui G. Grant N. Ben Ali A. Major A. Feki |
| author_facet | Jean Bouquet de Joliniere J. B. Dubuisson F. Khomsi A. Fadhlaoui G. Grant N. Ben Ali A. Major A. Feki |
| author_sort | Jean Bouquet de Joliniere |
| collection | DOAJ |
| description | Diagnosis of adnexial torsion is difficult during pregancy (1). The time of decision and laparoscopy is that of the risk of necrosis of the adnexa and, therefore, of the ovarian prognosis. The loss of an ovary can compromise the following fertility. Even if concerns related to laparoscopy in pregnant patients include a limited surgical field, with a risk of uterine injury and negative fetal effects of CO2 insufflation. Evidence base suggests that minimally invasive surgery can be safe and better than laparotomy for management of adnexal masses during late pregnancy with good postoperative and obstetric outcomes. If for most authors laparoscopy appears to become the best approach for ovarian torsion during pregnancy (2), nonetheless, the ideal surgical laparoscopic approach of adnexa in late pregnancy remains controversial. Since there is no technical gold standard to overcome surgical difficulties which could make laparoscopic procedures as real challenge in patients in second and third trimester (3); at least, in case of radical and non-conservative treatment, the risk for a first trimester of pregnancy is to remove the corpus luteum (1). |
| first_indexed | 2024-04-12T23:25:29Z |
| format | Article |
| id | doaj.art-eaa6612add614957ad6a9aed2cdb8cd7 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-12T23:25:29Z |
| publishDate | 2017-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-eaa6612add614957ad6a9aed2cdb8cd72022-12-22T03:12:25ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2017-10-01410.3389/fsurg.2017.00050262647Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature AnalysisJean Bouquet de Joliniere0J. B. Dubuisson1F. Khomsi2A. Fadhlaoui3G. Grant4N. Ben Ali5A. Major6A. Feki7Départment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDépartment of Gynecology and Obstetrics and Operative Surgery, Cantonal Hospital of Fribourg (HFR), Fribourg, SwitzerlandDiagnosis of adnexial torsion is difficult during pregancy (1). The time of decision and laparoscopy is that of the risk of necrosis of the adnexa and, therefore, of the ovarian prognosis. The loss of an ovary can compromise the following fertility. Even if concerns related to laparoscopy in pregnant patients include a limited surgical field, with a risk of uterine injury and negative fetal effects of CO2 insufflation. Evidence base suggests that minimally invasive surgery can be safe and better than laparotomy for management of adnexal masses during late pregnancy with good postoperative and obstetric outcomes. If for most authors laparoscopy appears to become the best approach for ovarian torsion during pregnancy (2), nonetheless, the ideal surgical laparoscopic approach of adnexa in late pregnancy remains controversial. Since there is no technical gold standard to overcome surgical difficulties which could make laparoscopic procedures as real challenge in patients in second and third trimester (3); at least, in case of radical and non-conservative treatment, the risk for a first trimester of pregnancy is to remove the corpus luteum (1).http://journal.frontiersin.org/article/10.3389/fsurg.2017.00050/fullovarian torsionpregnancylaparoscopyultrasoundadnexectomy |
| spellingShingle | Jean Bouquet de Joliniere J. B. Dubuisson F. Khomsi A. Fadhlaoui G. Grant N. Ben Ali A. Major A. Feki Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis Frontiers in Surgery ovarian torsion pregnancy laparoscopy ultrasound adnexectomy |
| title | Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis |
| title_full | Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis |
| title_fullStr | Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis |
| title_full_unstemmed | Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis |
| title_short | Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis |
| title_sort | laparoscopic adnexectomy for ovarian torsion during late pregnancy case report of a non conservative treatment and literature analysis |
| topic | ovarian torsion pregnancy laparoscopy ultrasound adnexectomy |
| url | http://journal.frontiersin.org/article/10.3389/fsurg.2017.00050/full |
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