Title Evaluation of the causes, diagnostic criteria, surgical treatment and follow-up results of ovarian torsion in children /
Translation of Title Vaikų kiaušidžių užsisukimo priežasčių, diagnostikos kriterijų, chirurginio gydymo ir atokiųjų rezultatų vertinimas.
Authors Geimanaitė, Lina
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Pages 34
Keywords [eng] ovarian torsion ; children ; surgical treatment
Abstract [eng] Ovarian torsion is a rare children’s acute abdominal disease which is difficult to diagnose and there is no consensus among scientists how to treat it. This is the first scientific research in Lithuania which analyses causes, optimal diagnostic criteria, the strategy, methods of surgical treatment and follow-up results of ovarian torsion in children. This is the largest research of the follow-up results of the conservative surgical treatment in the world. It was identified during the research that as many as 54.7% of the causes of ovarian torsion were congenital anatomical. In the case of 45.3% of the patients ovarian torsion was caused by pathological derivatives. In patients before menarche there were statistically significantly more mature teratomas (p=0.03). No specific symptoms of ovarian torsion in children were identified. Prior to the surgery, ultrasonography showed that the twisted ovary was on average 21.48 (17.06) times larger than the healthy ovary. Leukocytosis and ovarian blood flow disorders were statistically significantly more common in the case of ovarectomy. None of the girls who underwent detorsion with the ovary left in the abdominal cavity had thromboembolism or peritonitis; no malignant tumour was detected in any girl. According to the histopathological findings, no necrosis was detected in 14 (82.35%) removed ovaries, therefore they could be salvaged. Normal ovarian anatomy and folliculogenesis were retained in 95.24% of girls and women who were examined after detorsion.
Type Summaries of doctoral thesis
Language English
Publication date 2012