Laparoscopic Adnexectomy for Ovarian Torsion during Late Pregnancy: Case Report of a Non-Conservative Treatment and Literature Analysis

Frontiers in Surgery
Jean Bouquet de JoliniereA Feki

Abstract

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).

References

Jan 1, 1990·Fertility and Sterility·S MashiachZ Ben-Rafael
Aug 23, 2001·European Journal of Obstetrics, Gynecology, and Reproductive Biology·G DescarguesL Marpeau
Dec 4, 2003·Human Reproduction·Gabriel OelsnerHoward Carp
Nov 24, 2004·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·S Boopathy Vijayaraghavan
Aug 4, 2006·Clinical Obstetrics and Gynecology·Gabriel Oelsner, David Shashar
Dec 5, 2006·Fertility and Sterility·Beth W Rackow, Pasquale Patrizio
Feb 6, 2008·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·N SmorgickM Pansky
Jan 12, 2010·American Journal of Obstetrics and Gynecology·Joseph HassonDan Grisaru
Jan 21, 2011·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Yu-Jin KooTae-Jin Kim
May 17, 2011·American Journal of Obstetrics and Gynecology·Kim Hoover, Todd R Jenkins
Mar 20, 2012·Current Problems in Surgery·Casey A Boyd, Taylor S Riall
Mar 13, 2014·Journal of Ultrasound·Stefano Zucchini, Elena Marra
Nov 19, 2014·World Journal of Clinical Cases·Zacharoula Sidiropoulou, António Setúbal
Jan 7, 2015·Wideochirurgia i inne techniki mało inwazyjne = Videosurgery and other miniinvasive techniques·Turgut Aydin, Burak Yucel

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Citations

Aug 21, 2018·The Journal of Obstetrics and Gynaecology Research·Federico FerrariFranco Odicino
Dec 10, 2019·Case Reports in Obstetrics and Gynecology·Rawad HalimehElie Anastasiadis

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