Adnexal torsion after gonadotrophin ovulation induction for IVF or ICSI and its conservative treatment

被引：65

作者：

Gorkemli H. ^{[1
,2
]}

Camus M. ^{[1
]}

Clasen K. ^{[1
]}

机构：

[1] Centre for Reproductive Medicine, University Hospital, Dutchspeaking Brussels Free Univ., Brussels

[2] Selcuk Universitesi Tip Facultesi, Kadin Hastakliklare ve Dogum ABD, 42080 Meram, Konya

来源：

Archives of Gynecology and Obstetrics | 2002年 / 267卷 / 1期

关键词：

Adnexal torsion; Conservative treatment; Operative laparoscopy; Ovulation induction;

D O I：

10.1007/s00404-001-0251-x

中图分类号：

学科分类号：

摘要：

This study was designed to find out the incidence of ovarian torsion in the patients who were in ovulation induction treatment for either In vitro fertilization (IVF) or Intracytoplasmic sperm injection (ICSI). Also operative laparoscopic conservative treatment (detorsion or unwinding the twisted adnex) was tried to perform to all the patients. Among 10,583 cycles 9 ovarian torsion cases had been diagnosed laparoscopically between January 1994 and October 1998. 104 ovarian hyperstimulation syndrome (OHSS) patients were evaluated during that time. From 104 hyperstimulated cases three had torsion of the adnex and two of them were pregnant. Five of the patients were clinically and one was chemically pregnant. First, laparoscopy was done to all the patients and 8 of them could be detorsioned, in one case unwinding performed by laparotomy because of the large size of the ovary. No complications were observed after conservative surgery. These results demonstrate that, in the IVF or ICSI clinics ovarian torsion has to be regarded as one of the major complications especially if the patients are hyperstimulated or pregnant or both. Immediate manipulation is needed conservatively, preserving the ovaries which were very important for those infertile patients.

引用

页码：4 / 6

页数：2

共 23 条

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