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  • Title: Ovarian bivalving after detorsion.
    Author: Styer AK, Laufer MR.
    Journal: Fertil Steril; 2002 May; 77(5):1053-5. PubMed ID: 12009367.
    Abstract:
    OBJECTIVE: To assess the efficacy of a new technique, ovarian bivalving, on facilitating adnexal recovery after adnexal torsion. DESIGN: Retrospective case series. SETTING: Academic medical center. PATIENT(S): Five patients undergoing conservative surgical management of adnexal torsion at the Children's Hospital, Boston, Massachusetts, from May 1999 to April 2000. INTERVENTION(S): Performance of ovarian bivalving after untwisting of adnexal torsion. MAIN OUTCOME MEASURE(S): Sonographic appearance of adnexa after ovarian bivalving, and postoperative complications. RESULT(S): After surgical treatment, four of five patients undergoing untwisting of adnexa and ovarian bivalving had sonographically confirmed normal follicular function; in three of five cases, it was confirmed with Doppler arterial flow. There were no postoperative complications. CONCLUSION(S): After the untwisting of ischemic adnexa, ovarian bivalving is an effective technique to decrease ovarian intracapsular pressure, increase arterial perfusion, and facilitate adnexal reperfusion and recovery.
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