Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Detorsion

Study Overview
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Brief Summary
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There are mostly ovarian cysts under adnexal torsion from gynecological emergencies. There are many studies in the literature examining the effect of adnexal detorsion on ovarian reserve. However, there is no study in the literature examining the effect of concomitant cystectomy. In this study, the investigators aimed to investigate whether the cystectomy procedure performed together with detorsion has an additional effect on the ovarian reserve in cases of ovarian torsion with cysts.

Detailed Description
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All women who underwent emergency surgery in the investigators' obstetrics and gynecology department since April 2015 due to adnexal torsion were analyzed. All patients who underwent ovarian detorsion (Group 1) and ovarian detorsion+cystectomy (Group 2) were called for control between 6-12 months postoperatively. In all patients, the sizes of both ovaries and the number of antral follicles were counted by ultrasonography by 2 physicians who did not know the detorsion side beforehand. All women will be compared within and between groups in terms of ovarian sizes and antral follicle numbers.

Official Title
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Effect of Simultaneous Cystectomy on Ovarian Reserve in Cases of Adnexal Detorsion

Conditions
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Ovarian Torsion

Intervention / Treatment
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* Diagnostic Test: ultrasonography


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All women who underwent emergency surgery for ovarian torsion Exclusion Criteria: Those who underwent oophorectomy with suspicion of malignancy When faced with spontaneously amputated ovary due to chronic or acute torsion Women with only salpinx torsion

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 63 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Detorsion<br>The group in which only adnexal detorsion was performed during the operation (Because there is no ovarian mass) | Diagnostic Test: ultrasonography<br>* By performing transvaginal or transabdominal ultrasonography on women, ovarian volume will be calculated and antral follicle will be counted.<br>|
| Detorsion+cystectomy<br>Women with an ovarian mass who underwent emergency surgery for torsion, who underwent both detorsion and cystectomy in the same session. | Diagnostic Test: ultrasonography<br>* By performing transvaginal or transabdominal ultrasonography on women, ovarian volume will be calculated and antral follicle will be counted.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Ovarian volume difference between groups | To analyze whether there is a difference between the ovarian reserve parameters of women who underwent detorsion and detorsion+cystectomy. With ultrasonographic imaging, both ovaries will be evaluated for ovarian volume ( V = length × width × height × π/6) (cm3). Both the affected ovary will be compared with the contralateral ovary and the affected ovaries will be compared between groups. | postoperative 6-12 months | 
| The number of antral follicles difference between groups | To analyze whether there is a difference between the ovarian reserve parameters of women who underwent detorsion and detorsion+cystectomy. With ultrasonographic imaging, both ovaries will be evaluated for the number of antral follicles. Both the affected ovary will be compared with the contralateral ovary and the affected ovaries will be compared between groups. | postoperative 6-12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cystectomy, ovarian torsion, ovarian reserve