Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Detorsion

Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Detorsion

There are mostly ovarian cysts under adnexal torsion from gynecological emergencies. There are many studies in the literature examining the effect of adnexal detorsion on ovarian reserve. However, there is no study in the literature examining the effect of concomitant cystectomy. In this study, the investigators aimed to investigate whether the cystectomy procedure performed together with detorsion has an additional effect on the ovarian reserve in cases of ovarian torsion with cysts.

All women who underwent emergency surgery in the investigators' obstetrics and gynecology department since April 2015 due to adnexal torsion were analyzed. All patients who underwent ovarian detorsion (Group 1) and ovarian detorsion+cystectomy (Group 2) were called for control between 6-12 months postoperatively. In all patients, the sizes of both ovaries and the number of antral follicles were counted by ultrasonography by 2 physicians who did not know the detorsion side beforehand. All women will be compared within and between groups in terms of ovarian sizes and antral follicle numbers.

Inclusion Criteria:

• All women who underwent emergency surgery for ovarian torsion

Exclusion Criteria:

• Those who underwent oophorectomy with suspicion of malignancy
• When faced with spontaneously amputated ovary due to chronic or acute torsion
• Women with only salpinx torsion