July 26, 2025Jul 26 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."
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