Antenatally Diagnosed Ovarian Cysts with Torsion Managed Laparoscopically

Abstract

Aim and objective: To study the various types of laparoscopic management of antenatal ovarian torsion, their advantages, disadvantages, and its outcome in pregnancy. Background: Ovarian torsion in pregnancy occurs at a rate of about 1 in 5,000 cases. It is a life-threatening condition if not attended to and intervened promptly. Recent years have seen the advent of laparoscopy as a preferred means of management for ovarian torsion in pregnancy. This review article analyzes a series of articles over a span of 5 years from 2014 to 2018 on laparoscopic management of ovarian torsion in pregnancy and its outcome. Results: Various procedures like ovarian detorsion, cystectomy, ovarian cyst puncture, ovariopexy, shortening of the utero-ovarian ligament, and oophorectomy are performed by expert hands. While advantages include quick recovery and early discharge from hospital, disadvantages are a long learning curve and increased need for training. This has led to many uneventful pregnancies with term live births. Conclusion: Each type of laparoscopic management for antenatal ovarian torsion has its pros and cons. Nevertheless, the outcome of the pregnancy has been excellent in the majority of the laparoscopically managed cases. Clinical significance: Laparoscopic management of antenatal ovarian torsion has reduced intraoperative blood loss, improved postoperative pain, and led to a quick recovery, early discharge from hospital, and return to daily activities. Clinicians need to be adequately trained to be competent in performing various laparoscopic surgeries.