Contemporary Trends in Laparoscopy and Ovarian Sparing Surgery for Ovarian Torsion in the Pediatric Population

Should a laparoscopic ovarian sparing surgery be favored instead of a total oophorectomy in a young patient with an ovarian torsion? Hi, I'm Kim Priven, a research fellow at Cincinnati Children's, and I think this is an article you should know about. This article out of the University of Miami Miller School of Medicine and Florida State University School of Medicine is one of the largest retrospective studies comparing overall readmission, retorsion, and ovarian tumor status in patients who either had a. oophorectomy or an ovarian sparing surgery for a torsion. And what did they find? 3,161 girls between the ages of 12 and 18 were reviewed for the type of surgical approach utilized to address an ovarian torsion. The results showed that there was no significant difference between the surgical approaches and that the open total oophorectomies were the most common procedure utilized. And also, laparoscopic ovary sparing procedures were underutilized. This is really interesting because the current evidence-based guidelines from the American Pediatric Surgical Association recommends detortion with ovary sparing surgery due to its potential for long-term fertility benefits. This study definitely demonstrates that there is an opportunity for increased education and quality improvement initiatives for patients with ovarian torsion. Thank you for watching, like and share, and as always, let us know what you think. Stay tuned for more articles we think you should know about.