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Conservative surgery for ovarian torsion in young women: Perioperative complications and national trends

BJOG: An International Journal of Obstetrics and Gynaecology Jun 17, 2020

Mandelbaum RS, Smith MB, Violette CJ, et al. - Researchers conducted a population‐based retrospective observational study in order to ascertain populational trends and perioperative complications following conservative surgery vs oophorectomy in women < 50 years of age with ovarian torsion. They assessed 89,177 ovarian torsions comprising 20,597 (23.1%) conservative surgeries and 68,580 (76.9%) oophorectomies. Observations revealed an increasing use of conservative surgery for ovarian torsion in the USA in recent years. Younger age had the largest effect size for conservative surgery among the independent factors in multivariable analysis. In the weighted model, they noted an association of conservative surgery with nearly 30% reduced risk of perioperative complications overall (10.0% vs 13.6%) and its no association with venous thromboembolism (0.2 vs 0.3%) or sepsis (0.4 vs 0.3%).

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