Gynecology Latest Topics

In treatment of primary Fallopian tube torsion

Thu, 14 Aug 2025 12:51:18 +0000

MRI in diagnosis of vaginal septum

Thu, 14 Aug 2025 12:49:12 +0000

Prepubertal Labial adhesions

Thu, 14 Aug 2025 12:48:25 +0000

U/S in ovarian torsion

Thu, 14 Aug 2025 12:44:25 +0000

Oophoropexy In ovarian torsion

Thu, 14 Aug 2025 12:41:35 +0000

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -

"There is no good prospective data to support the use of ovariopexy and its practice appears to be surgeon dependent [12]. Some specific situations may warrant ovariopexy, such as patients undergoing pelvic radiation for a malignancy, bilateral torsion, or recurrent ipsilateral torsion may benefit from a pexy procedure. In addition, pexy may be beneficial if torsion occurs on an ovary with a malformed or excessively long utero-ovarian ligament or in a patient with a single ovary. Clipping the utero-ovarian ligament or infundibulopelvic ligament to the pelvic sidewall or posterior uterus may also serve the same purpose as a pexy."

During the Lap management of ovarian cyst/torsion

Thu, 14 Aug 2025 12:40:04 +0000

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -
"An ovary that does not appear viable after detorsion, if left to remain, can be viable in future US surveillance. At follow-up US, if there is a persistent mass, then removal may be warranted and is still a consideration"

Quote from "The SAGES Manual of Pediatric Minimally Invasive Surgery" by Danielle S. Walsh, Todd A. Ponsky, Nicholas E. Bruns -
"The lesion must be thoroughly examined and its borders identified. Blunt retractors are used to detorse the ovary and ensure the vascular pedicle is no longer twisted. Ovarian preservation is preferred, so leaving an ovary that appears necrotic or may have an associated mass is acceptable at the time of detorsion"

In management of ovarian torsion

Thu, 14 Aug 2025 12:38:26 +0000

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -
"The torsion rate increased with size from 0% in cysts <20 mm to 33% in cysts >50 mm. In between 0 and 40 mm, there is a higher rate of spontaneous resolution, and the median time to postnatal resolution was 10 (5–27) weeks in those treated conservatively [2]. Other publications suggest a similar pattern of spontaneous resolution [3]. So, it is recommended a conservative approach and postnatal ultrasound monitoring. Those cysts which exceed 5 cm and do not shrink postnatally may require surgical treatment [4]."

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -
"prenatally simple cysts can be managed expectantly, as complicated cysts have to be operated. In older girls, cyst greater than 50 mm in diameter has a great chance of torsion, and laparoscopy is indicated."

In management of ovarian masses

Thu, 14 Aug 2025 12:37:06 +0000

neonatal ovarian cyst management

Thu, 14 Aug 2025 12:31:58 +0000

In management of neonatal ovarian cysts

Thu, 14 Aug 2025 12:30:14 +0000

Quote from "ESPES Manual of Pediatric Minimally Invasive Surgery" by Ciro Esposito, François Becmeur, Henri Steyaert, Philipp Szavay -
"After birth there are two scenarios [3]: first is the presence of a complex cyst at ultrasound. The ovary is lost, and surgery will be delayed for several weeks; second is a simple cyst of more than 5 cm. In this case a US-guided transcutaneous evacuating puncture may be tried, or patient is put on the operating table for a punction under laparoscopic control very soon after birth in order to avoid torsion and loss of the ovary [4, 5]."