Minimally invasive conservative management of ovarian torsion by hot dog in a bun technique: A case series

Abstract

The study objective is to assess the efficacy of oopheropexy by hot dog in a bun technique as a conservative surgical management of ovarian torsion in preventing recurrence. This study includes 14 patients in the age group of 8 -33 who presented to the Gynaecology emergency department of Lifeline Multispeciality Hospital, Adoor, Kerala with acute abdominal pain. The study period was from August 2015 to August 2019. Ovarian torsion was suspected clinically and by ultrasound. Laparoscopic detorsion and oopheropexy (hot dog in a bun technique) with concurrent oopheropexy was done in all patients with ovarian torsion. Ovary was not salvageable in one patient for whom adnexectomy was done. Prophylactic contralateral oopheropexy was done in patients with long and lax infundibulopelvic and utero-ovarian ligament. Follow up was done with ultrasound for vascular flow and follicular activity. Laparoscopic detorsion and oopheropexy by hot dog in a bun technique is an effective technique in preventing recurrent adnexal torsion.