Ovarian detorsion

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What Is Ovarian Detorsion?

Here's a detailed, easy-to-understand explanation of Ovarian Detorsion, useful for patient education, websites, or medical communication materials:

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Ovarian detorsion is a surgical procedure performed to untwist the ovary when it becomes twisted around the ligaments that support it — a condition known as ovarian torsion. Detorsion restores blood flow to the ovary and helps prevent permanent damage or loss of the ovary.

Types of Ovarian Detorsion

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Performed using small incisions and a camera.

Faster recovery and less post-operative pain.

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Used when torsion is severe or complications arise.

Requires a larger incision and longer hospital stay.

Symptoms of Ovarian Torsion (Requiring Detorsion)

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Sudden, severe lower abdominal pain (usually on one side)
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Nausea and vomiting
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Fever (in later stages)
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Pelvic tenderness
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Abdominal bloating

Risk Factors of Ovarian Torsion

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Causes of Ovarian Torsion

Ovarian cyst or tumor that adds weight to the ovary

Congenital abnormality in the ligaments

Sudden movement or trauma

Hormonal changes during pregnancy or IVF treatment

How to Prevent Ovarian Torsion (If Possible)

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Regular gynecological checkups

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Monitoring of ovarian cysts or masses

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Timely management of large cysts

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Avoiding strenuous activities during fertility treatment (if advised by doctor)

Treatment: Ovarian Detorsion

The main treatment for ovarian torsion is surgery — detorsion.

Aim: Untwist the ovary and preserve ovarian function.

If the ovary appears viable, it is left intact.

In rare cases, if the ovary is necrotic (dead), oophorectomy (removal) may be necessary.

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Procedures of Ovarian Detorsion

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Diagnosis –

Ultrasound with Doppler (to check blood flow)

CT or MRI (if needed)

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Surgery –

General anesthesia is given

Laparoscopy or laparotomy is performed

Ovary is gently untwisted

Cysts may be removed if present

Ovary is monitored for color and blood flow

In some cases, ovariopexy (anchoring the ovary) may be done to prevent recurrence

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Recovery and Aftercare -

Most patients recover within 1–2 weeks after laparoscopy.

Pain relief, rest, and follow-up imaging may be needed.

Fertility is often preserved with prompt intervention.