This is performed when the mass is not demonstrated on a physical exam or on radiological type studies. In virtually all cases, it is used to confirm the diagnosis. In the acute care of a patient with ovarian torsion, it is important to consider the diagnosis. Even if pregnancy is found, the diagnosis of ovarian torsion may exist, and it may exist in a patient who has had a hysterectomy. Unfortunately, most of the cases with older women are not diagnosed acutely.
Some patients experience intermittent torsion.
Previously, prophylaxis oophoropexy was performed. For patients with benign pathology, laparoscopic repair often is used. Salpingo-oophorectomy may be necessary if there is evidence of necrotic tissue. Recently, laparoscopic triplication of the utero-ovarian ligament has been done to prevent recurrent torsion. They ensure patient comfort, promote pulmonary toilet, and have sedating properties, which are beneficial for patients who have sustained trauma or have painful lesions.