From the Research
Ovarian torsion requires immediate surgical intervention to prevent permanent damage to the ovary, with the standard procedure being laparoscopic detorsion (untwisting) of the ovary, as supported by the most recent and highest quality study 1. The surgical procedure for ovarian torsion involves several key steps, including:
- Laparoscopic detorsion (untwisting) of the ovary, which should be performed as soon as possible after diagnosis
- Evaluation of the viability of the ovarian tissue during surgery
- Removal of any cysts if present
- Possible performance of oophoropexy (fixation of the ovary to prevent recurrence)
- Potential oophorectomy (removal of the ovary) if the ovary appears necrotic and non-viable despite detorsion
Post-operative care typically includes pain management with NSAIDs like ibuprofen 400-600mg every 6 hours or acetaminophen 1000mg every 6 hours, with stronger opioid medications reserved for breakthrough pain, as noted in various studies 2, 3, 4. Most patients can be discharged within 24-48 hours if recovery is uncomplicated, and follow-up should occur 1-2 weeks after surgery to assess healing and discuss fertility preservation if relevant, as highlighted in the literature 1, 5. Early intervention is crucial because blood supply to the ovary is compromised during torsion, and permanent damage can occur within 8-12 hours, potentially affecting future fertility, emphasizing the importance of prompt surgical intervention 1.