Ovarian preservation and prognosis in adnexal torsion surgery — a retrospective analysis

Objectives: This study aims to analyze the conditions of ovarian preservation during adnexal torsion surgery, and safetyof ovarian preservation.Material and methods: A retrospective analysis of 130 patients, who underwent surgery for ovarian benign tumor pedicletorsion in Fujian Provincial Maternal and Child Health Hospital from June 2013 to June 2018, was conducted. This studyanalyses the possible risk factors affecting the operation method using multiple logistic regression and analyses the complicationsand the recovery of ovarian function after the treatment of the ovarian preservation.Results: Among these patients, 58 received ovarian cystectomy, while 72 received ovariectomy. There was no significantdifference in terms of age, preoperative blood, operation time and surgical bleeding volume between the two groups(p > 0.05). However, there was a significant difference in preoperative adnexal blood flow, abdominal pain to the surgicalinterval, and a collection of torsion cycles (p < 0.05). There was an increased risk of ovarian resection in patients whose bloodflow of the annex disappeared, whose time of abdominal pain was long, and whose number of twists were significant. Forthe preservation group, there were no increases in postoperative complications.Conclusions: According to clinical indicators, such as preoperative adnexal blood flow, abdominal pain to the interval ofsurgery and the number of torsion cycles, it was determined whether it was feasible to keep the ovary. Retaining the ovaryis safe, effective and feasible in adnexal torsion