Page 36 - World Journal of Laparoscopic Surgery
P. 36

Antenatally Diagnosed Ovarian Cysts with Torsion Managed Laparoscopically
            some of them being ovariopexy, oophoropexy, and shortening     4.  Chang HC, Bhatt S, Dogra VS. Pearls and pitfalls in diagnosis of
            of the utero-ovarian ligament. These upcoming procedures can   ovarian torsion. Radiographics 2008;28(5):1355–1368. DOI: 10.1148/
            be promising but require clinicians to be adequately trained in   rg.285075130.
            performing them in an emergency.                     5.  Koo YJ, Park JY, Kim DY, et al. Laparoscopic versus open surgery for
               Follow-up of patients managed laparoscopically for ovarian   adnexal tumor in pregnant women. Gynecol Minim Invasive Ther
                                                                    2013;2(2):57–60. DOI: 10.1016/j.gmit.2013.02.002.
            torsion in pregnancy is crucial. Postoperatively, they should be     6.  Oelsner G, Cohen SB, Soriano D, et al. Minimal surgery for the twisted
            briefed about warning symptoms and signs like acute abdominal   ischaemic adnexa can preserve ovarian function. Hum Reprod
            pain, nausea, vomiting and if so, to report to their clinicians as   2003;18(12):2599–2602. DOI: 10.1093/humrep/deg498.
            soon as possible. If there is any pathological finding during the      7.  Ding D-C, Chang Y-H. Laparoendoscopic single-site surgical
            surgery, the patient should be informed of the same and advised   cystectomy of a twisted ovarian dermoid cyst during early pregnancy:
            to follow-up with the concerned specialist following delivery. This   a case report and literature review, Gynecology and minimally
            completes the care plan for an antenatal patient diagnosed and   invasive therapy. 2016;5:173–177.
            managed laparoscopically for ovarian torsion.        8.  Scheib SA, Jones HH, Boruta DM, et al. Laparoendoscopic single-
                                                                    site surgery for management of adnexal masses in pregnancy: case
                                                                    series. J Minim Invasive Gynecol 2013;20(5):701–707. DOI: 10.1016/
            conclusion                                              j.jmig.2013.02.024.
            Early diagnosis and appropriate surgical management of adnexal     9.  Lowry PS, Moon TD, D’Alessandro A, et al. Symptomatic port-site
                                                                    hernia associated with a non-bladed trocar after laparoscopic
            torsion is the only way to prevent complications and preserve the   live-donor nephrectomy. J Endourol 2003;17(7):493–494. DOI:
            pregnancy. Laparoscopic surgery in early pregnancy causes no   10.1089/089277903769013649.
            harm to the fetus and should be encouraged once the diagnosis is     10.  Munshi S, Patel A, Banker M, et al. Spontaneous OHSS with bilateral
            confirmed. Minimal handling of the gravid uterus in laparoscopy   ovarian torsion. J Human Reproduct Sci 2014;7(1):66–68. DOI:
            also plays a role in saving the pregnancy while performing various   10.4103/0974-1208.130870.
            procedures to deal with ovarian torsion. Delaying the operation     11.  Tamer A. Hosny, oophoropexy for ovarian torsion: a new easier
            may lead to serious infection and jeopardize both the fetus and the   technique,. Gynecolog Surg 2017;14(1):7. DOI: 10.1186/s10397-017-
                                                                    1001-9.
            mother. Each type of laparoscopic management has its pros and     12.  Weitzman VN, DiLuigi AJ, Maier DB, et al. Prevention of recurrent
            cons. Keeping in mind, clinicians require to be adequately trained   adnexal torsion. J Fertnstert 2008;90(5):2018.e1-3. DOI: 10.1016/
            in the same to be competent enough to operate in an emergency.  j.fertnstert.2008.02.144.
                                                                 13.  Daykan Y, Bogin R, Sharvit M, et al. Adnexal torsion during
            clinicAl significAnce                                   pregnancy – pregnancy outcomes after surgical intervention:
                                                                    a retrospective case-control study. J Minim Invas Gynecol
            Laparoscopic surgery to correct ovarian torsion antenatally   2019;26(1):117–121. DOI: 10.1016/j.jmig.2018.04.015.
            has its benefits and risks. The pros of treating ovarian torsion     14.  Tsai H-C. Acute abdomen in early pregnancy due to ovarian torsion
            laparoscopically include less intraoperative blood loss, no   following successful in vitro fertilization treatment. Taiwan J Obstetr
            need for large incisions on the abdomen, small or minimal scar   Gynecol 2015;54:438–441.
            postoperatively, less postoperative pain, shorter hospital stay, quick     15.  Kanayama S. Laparoscopic detorsion of the ovary in ovarian
            recovery, and faster return to daily activities. Just like a double-  hyperstimulation syndrome during the sixth week of gestation:
            edged sword, laparoscopic management has its disadvantages   A case report and review. Int J Surg Case Rep 2019;59:50–53. DOI:
                                                                    10.1016/j.ijscr.2019.04.051.
            that any clinician or patient should be aware of. Some of them     16.  Aydin T, Yucel B. Laparoscopic management of adnexal
            include failure of entry into the abdomen, inadvertent injury to   torsion in a twin, in vitro fertilization pregnancy at 23 weeks.
            blood vessels like inferior epigastric artery in the abdominal wall   Videosurgery Miniinv 2014;9(4):655–657. DOI: 10.5114/wiitm.2014.
            while introducing the trocars through lateral ports, or injury to   45732.
            major abdominal vessels like aorta causing hemorrhage and blood     17.  Young R, Cork K. Intermittent ovarian torsion in pregnancy.
            transfusion, injury to organs like bowel and the probable need to   Clin Pract Cases Emerg Med 2017;I(2):108–110. DOI: 10.5811/
            convert to laparotomy. Hence, clinicians should be well acquainted   cpcem.2016.12.32932.
            with a prompt diagnosis of the condition, timely intervention,     18.  Takeda A, Hayashi S, Imoto S, et al. Pregnancy outcomes after
                                                                    emergent laparoscopic surgery for acute adnexal disorders at less
            keeping in mind the risks associated with the procedure.  than 10 weeks of gestation. J Obstet Gynaecol Res 2014(5):1–7. DOI:
                                                                    10.1111/jog.12332.
                                                                 19.  Vural F, Vural B, Çakıroğlu Y. A case of adnexial torsion during
            references                                              pregnancy: shortcomings in Doppler ultrasonography. Causapedia
              1.  Huang C, Hong MK, Ding DC. A review of ovary torsion. Ci Ji Yi Xue   2015;4:978.
                Za Zhi 2017;29:143–147.                          20.  Resapu P, Gundabattula SR, Bayyarapu VB, et al. Adnexal torsion
              2.  Yuk JS, Shin JY, Park WI, et al. Association betweenpregnancy   in symptomatic women: a single-centre retrospective study of
                and adnexal torsion: a population-based, matched case-  diagnosis and management. J Obstet Gynaecol 2019;39(3):349–354.
                controlstudy. Medicine (Baltimore) 2016;95(24):e3861. DOI: 10.1097/  DOI: 10.1080/01443615.2018.1494702.
                MD.0000000000003861.                             21.  Mage G, Canis M, Manhes H, et al. Laparoscopic management
              3.  Hibbard LT. Adnexal torsion. Am J Obstet Gynecol 1985;152(4):   of adenexal torsion, a review of 35 cases. J Reprod Med 1989;34:
                456–461. DOI: 10.1016/S0002-9378(85)80157-5.        520–524.









                                                 World Journal of Laparoscopic Surgery, Volume 13 Issue 3 (September–December 2020)  135
   31   32   33   34   35   36   37   38   39   40   41