ANNOTATION
Ovarian torsion includes a torsion of a healthy or pathological ovary, a torsion of the fallopian tube, a paraovarial cyst, or a combination of these conditions. Ovarian torsion is one of the most difficult diagnoses in pediatrics, as the symptoms are often nonspecific. The choice of the optimal volume of surgical treatment for patients with ovarian torsion remains a debatable issue. In adolescent girls, minimally invasive surgical treatment should be performed to the extent of detorsion and preservation of the ovary, ovariectomy is recommended only for necrotic tissue changes.
OBJECTIVE
To analyze the cases of ovarian torsion in girls hospitalized in the Morozov Municipal Pediatric Clinical Hospital in Moscow and in the MD GROUP clinical hospital in Moscow for the period 2019—2024.
METHODS
Retrospectively analyzed the medical records of 91 girls aged 0 to 18 years operated on for ovarian torsion in the period 2019—2024. The Microsoft Excel Descriptive Statistics software package was used for statistical processing of the research data. Quantitative indicators are presented as an average ± standard deviation (Mean is the average, SD is the standard deviation). Qualitative indicators were presented in the form of frequency and proportion (%).
RESULTS
The average age of the patients was 10.5—5.1 years. 45 girls (49.5%) were admitted to the hospital on the first day after the onset of complaints. In 46 cases (50.5%), there was a later diagnosis and hospitalization. Ovarian detorsion with ovarian preservation was performed in 43 (47.3%) patients, unilateral adnexectomy in 46 (50.5%) patients and one (1.1%) ovarian resection. Of the 8 (8.8%) newborn girls with ovarian torsion, only one had detorsion and fixation of the altered ovary, the rest underwent an adnexectomy of the altered ovary. According to histological examination, 46 (50.5%) patients with ovarian formation were diagnosed with: functional formations (follicular cyst and corpus luteum cyst) — in 15 (32.6%), paraovarial cysts — 16 (34.8%), epithelial benign formations (serous and mucinous cystadenomas) — 7 (16.7%), formations containing remnants of embryonic tissue (teratomas and dermoid cysts) — 7 (16.7%), tumor of the genital stroma (granulocellular tumor) — 1 (2.4%).
CONCLUSION
The time elapsed since the onset of pain plays a crucial role in the diagnosis of ovarian necrosis. In patients with early detection of ovarian torsion, the prognosis may be better with conservative surgical intervention. It is necessary to develop tactics for the management of patients with OT in childhood in order to maximize the reproductive potential of young people.
