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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 Mar 19, 2020

Mandelbaum RS, Smith MB, Violette CJ, et al. - Researchers conducted a population‐based retrospective observational study assessing 89,177 ovarian torsions including 20,597 (23.1%) conservative surgeries and 68,580 (76.9%) oophorectomies in order to determine population trends and perioperative complications following conservative surgery vs oophorectomy in women < 50 years of age with ovarian torsion. Observations revealed increase in the performance of conservative surgery from 18.9 to 25.1% between 2001 and 2015 (32.8% relative increase) but it reduced steadily after age 15, and sharply declined after age 35. Multivariable analysis revealed that among the independent factors, younger age exhibits the largest effect size for conservative surgery. No rise in perioperative complications was evident in correlation with conservative surgery for ovarian torsion.

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