Objective: Ovarian torsion is an acute gynecological disease that causes acute abdominal symptoms. We retrospectively reviewed 87 cases of patients diagnosed with ovarian torsion in which surgery was performed in our hospital between January 2017 and December 2023.
Methods: The following parameters were examined: age, left or right occurrence, abdominal or laparoscopic surgery, maximum tumor diameter, time from onset to surgery, preoperative WBC count, preoperative CRP value, presence or absence of macroscopic ischemic findings indicated by color changes on the ovarian surface during surgery, histopathological diagnosis, and presence or absence of pathological necrosis.
Results: There was a tendency for the preoperative WBC count to be higher with a higher incidence of necrosis. The group with a preoperative CRP value of 0.3 mg/dl or higher had higher incidence of necrosis than the group with a preoperative CRP value of less than 0.3 mg/dl (p value = 0.00038). Cases in which time from onset to surgery was more than 24 hours tended to have a higher rate of necrosis. When fresh bleeding was observed from the normal ovary during surgery, there was a high possibility that the functional ovary remained. Conclusion: The results suggested that the time from onset to surgery, preoperative WBC, and preoperative CRP value may be useful factors indicative of necrosis. We believe that for young patients and patients who wish to preserve their ovaries, there is a great benefit to attempting ovarian-conserving surgery.
