Observational studyBJOG : an international journal of obstetrics and gynaecology2020
Conservative surgery for ovarian torsion in young women: perioperative complications and national trends.
Observational study in BJOG : an international journal of obstetrics and gynaecology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Effect of salpingectomy versus tubal ligation on postoperative wound infection in patients: A meta-analysis.International wound journal · 2024Pooled it
- Clinical features of isolated fallopian tube torsion and tubo-ovarian torsion with ipsilateral paraovarian cysts: a large cohort study of thirteen-year single-centre experience.BMC women's health · 2026Article
- Dual-modal photoacoustic and ultrasound imaging for early diagnosis of ovarian torsion and evaluation of long-term tissue hypoxia.Scientific reports · 2025Article
- Ultrasound-guided cyst aspiration for management of acute adnexal torsion.Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology · 2025Article
- Article
- The Evaluation, Diagnosis, and Management of Ovarian Cysts, Masses, and Their Complications in Fetuses, Infants, Children, and Adolescents.Healthcare (Basel, Switzerland) · 2025Review
- Efficacy of conservative laparoscopic surgical treatment for acute ovarian torsion in pediatrics and adolescent populations: A single-armed meta-analysis.Turkish journal of obstetrics and gynecology · 2024Article
- Changing Practices in the Surgical Management of Adnexal Torsion: An Analysis of the National Surgical Quality Improvement Program Database.Obstetrics and gynecology · 2023Article
- Association of Placenta Previa With Severe Maternal Morbidity Among Patients With Placenta Accreta Spectrum Disorder.JAMA network open · 2022Article
- Pediatric and adolescent females are at higher risk of adnexal torsion recurrence-A large-scale retrospective study.The journal of obstetrics and gynaecology research · 2022Article
- The influence of obesity on incidence of complications in patients hospitalized with ovarian hyperstimulation syndrome.Archives of gynecology and obstetrics · 2022Observational
- Appearances Are Deceptive: Two Case Reports in Teenagers on the Conservative Laparoscopic Surgery for Adnexal Torsion with Apparent Infarction.Case reports in obstetrics and gynecology · 2022Article
- In Vitro Fertilization Cycle Outcomes for a Patient Undergoing Oocyte Retrieval following Ovarian Torsion.CRSLS : MIS case reports from SLSArticle
- Ultrasonographic whirlpool sign in ovarian torsion with dual mature teratomas: A case report and literature review.Medicine internationalArticle
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo analyse populational trends and perioperative complications following conservative surgery versus oophorectomy in women <50 years of age with ovarian torsion.
designPopulation-based retrospective observational study.
settingNationwide Inpatient Sample in the USA (2001-2015). POPULATION: In all, 89 177 ovarian torsions including 20 597 (23.1%) conservative surgeries and 68 580 (76.9%) oophorectomies.
methods(1) Trend analysis to assess utilisation of conservative surgery over time, (2) multivariable binary logistic regression to identify independent factors associated with conservative surgery and (3) inverse probability of treatment weighting with a generalised estimating equation to analyze perioperative complications.
main outcome measuresTrends, characteristics and complications related to conservative surgery.
resultsPerformance of conservative surgery increased from 18.9 to 25.1% between 2001 and 2015 (32.8% relative increase, P = 0.001) but decreased steadily after age 15, and sharply declined after age 35 (P < 0.001). On multivariable analysis, younger age exhibited the largest effect size for conservative surgery among the independent factors (adjusted odds ratios 3.39-7.96, P < 0.001). In the weighted model, conservative surgery was associated with an approximately 30% decreased risk of perioperative complications overall (10.0% versus 13.6%, odds ratio 0.73, 95% confidence interval 0.62-0.85, P < 0.001) and was not associated with venous thromboembolism (0.2 versus 0.3%, P = 0.457) or sepsis (0.4 versus 0.3%, P = 0.638).
conclusionThere has been an increasing utilisation of conservative surgery for ovarian torsion in the USA in recent years. Our study suggests that conservative surgery for ovarian torsion may not be associated with increased perioperative complications. TWEETABLE ABSTRACT: Conservative surgery for ovarian torsion may not be associated with increased perioperative complications.
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