Impact of laparoscopic ovarian detorsion on ovarian reserve

• Published in: The journal of obstetrics and gynaecology research 2017-02, Vol.43 (2), p.298-302
• Main Authors: Yasa, Cenk, Dural, Ozlem, Bastu, Ercan, Zorlu, Masallah, Demir, Omer, Ugurlucan, Funda Gungor
• Format: Article
• Language: English
• Subjects: Adult; Aftercare; Anti-Mullerian Hormone - blood; anti‐Müllerian hormone; antral follicle count; detorsion; Female; Gynecologic Surgical Procedures - methods; Humans; Laparoscopy; Laparoscopy - methods; Outcome Assessment (Health Care); Ovarian Diseases - surgery; Ovarian Follicle; Ovarian Reserve; ovarian torsion; Reproductive status; Torsion Abnormality; Young Adult
• ISSN: 1341-8076; 1447-0756
• DOI: 10.1111/jog.13195

Aim The aim of this study was to evaluate ovarian reserve after laparoscopic ovarian detorsion in patients with ovarian torsion. Methods From February 2014 to September 2015, a total of 11 patients with ovarian torsion underwent laparoscopic detorsion. These 11 patients were eligible for study, and ovarian reserve was assessed on serum anti‐Müllerian hormone (AMH) and by antral follicle count preoperatively, and in postoperative months 1 and 3. Results Mean patient age was 25.4 ± 5.5 years. Although mean antral follicle count on the operated side was slightly lower than on the contralateral side at 1 month postoperatively (P > 0.05), at 3 months postoperatively there was no difference in mean antral follicle count between the operated and contralateral sides (P > 0.05). There was no significant change in serum AMH level at 1 and 3 months postoperatively compared with the preoperative level (P > 0.05). Conclusions Laparoscopic detorsion of twisted ovary is a safe procedure to preserve ovarian function, and does not impair ovarian reserve according to antral follicle count and AMH during the course of follow‐up.