Laparoscopic Ovarian-conserving Surgery for Ovarian Cyst Pedicle Torsion：Report of 62 Cases
10.3969/j.issn.1009-6604.2014.07.008
- VernacularTitle:卵巢囊肿蒂扭转保留卵巢腹腔镜手术62例报告
- Author:
Bin ZHANG
;
Yan GUO
;
Jingjing LI
- Publication Type:Journal Article
- Keywords:
Laparoscopic surgery;
Ovarian cyst;
Pedicle torsion
- From:
Chinese Journal of Minimally Invasive Surgery
2014;(7):600-602
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the value of laparoscopic ovarian-conserving restoration for ovarian cyst torsion . Methods A total of 62 cases of ovarian cyst torsion , 12 of which were combined with pregnancy , between January 2007 and June 2012 were retrospectively analysed .The surgical management involved laparoscopic high ligation of ovary blood vessels , restoration of the ovary, and resection of ovarian cysts . Results All the 62 cases of laparoscopic restoration were successfully performed with ovarian reservation.The cysts twisted for 180°~1080°, including 19 cases of <360°, 21 cases of 360°~720°, and 22 cases of >720°.The cysts were coloured purple black in 26 cases, purple or normal in 36 cases.The operation time was (57 ±23) min, the intraoperative blood loss was 5-130 ml (mean, 50.6 ml), and anal exsufflation time was (24 ±13) hours.No embolism, infection, and abortion occurred during post-operation.The level of estrogen recovered to normal in 1-3 months postoperatively .Ovulation at the procedure side was found in 43 cases in 6-24 months. Conclusions Laparoscopic ovarian-conserving surgery is a safe procedure for ovarian cyst pedicle torsion .High ligation of ovarian blood vessles and resection of ovarian cysts can not only avoid the possibility of thrombosis but also preserve the ovarian functions .The shortage of this operation is complicated to perform .
