%0 Journal Article
%T Ovarian Torsion and Surgical Treatment: Five-year¡¯s experience of a tertiary center
%A Taner G¨¹NAY
%J -
%D 2018
%X Objective: In current study, we aimed to evaluate the clinical and laboratory findings and surgical methods in patients treated with a surgical approach for ovarian torsion in a period of five years in our institute. Materials and Methods: The demographic characteristics, clinical and laboratory findings of patients who admitted to emergeny unit of our hospital and underwent a surgery for a diagnosis of ovarian torsion in between January 2013 and January 2018 and surgical methods used were collected via digital patient database. The relevant data was assessed. Results: The mean age of the patient 32 patients who had eligible medical records was 27.2¡À10.5. Nine (28.1%) of 32 patients was virgo. All the patients had abdominal or pelvic pain. 15 (46.7%) patients had nausea, 7 (6.2%) had vomitting and 2 (6.2%) had fever. Two of patients were pregnant during diagnosis. 19 (59.35) patients had righ-sided ovarian torsion and 13(40.7) had left-sided. The mean average diameter of the torsioned ovary was 92.5¡À46.3 mm. Ovarian blood flow was compromised in 15 (46.8%) patients in color doppler sonographic evaluation. Laparoscopic surgery was preferred for 23 (71.9%) patients and laparotomy for 9. Conclusion: The early intervention of a torsioned ovary, a gynecologic emergency, has a critical role to secure the affected organ and to preserve its functions with the evaluation of the patient¡¯s physical examination findings, laboratory and imaging findings. Organ-sparing surgery should be the first choice preferably with a laparoscopic approach
%K over torsiyonu
%K laparoskopik cerrahi
%K ultrason
%U http://dergipark.org.tr/ksutfd/issue/37136/423102