ISSN: 2148-8274 / E-ISSN: 2587-0084
, Türk Üreme Tıbbı ve Cerrahisi
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Turkish Journal of Reproductive Medicine and Surgery

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ORİJİNAL ARAŞTIRMALAR

Gebelik Sürecinde Over Torsiyonu
Ovarian Torsion During Pregnancy
Received Date : 07 Jun 2023
Accepted Date : 19 Sep 2023
Available Online : 23 Oct 2023
Doi: 10.24074/tjrms.2023-98365 - Makale Dili: EN
Turkish Journal of Reproductive Medicine and Surgery. 2024;8(1):7-11.
ÖZET
Amaç: Gebelik durumu, adnexlerin torsiyone olması için uygun bir zemin oluşturur. Buna rağmen gebelikte over torsiyonu sık görülen bir durum değildir. Bu araştırmada, hamilelik döneminde over torsiyonu tanısıyla cerrahi geçiren kadınların klinik ve laboratuvar sonuçları incelendi. Gereç ve Yöntemler: 2015-2021 yılları arasında iki üniversite hastanesinin kadın hastalıkları ve doğum kliniklerinde, over torsiyonu nedeniyle opere edilen hamile kadınların tıbbi kayıtları incelendi. 19 tanesi birinci trimester, 10 tanesi ise ikinci ve üçüncü trimesterde olmak üzere toplam 29 over torsiyonu gelişmiş gebe hasta çalışmaya dahil edildi. Bulgular: Çalışma dahilinde verileri incelenen gebeliklerin sekizinin, yardımcı üreme teknikleri kullanılarak oluşturulduğu tespit edildi. Gebeler, birinci ve ikinci-üçüncü trimesterda olmalarına göre iki gruba ayrılarak klinik, laboratuvar, ultrasonografi bulguları ve doğum şekilleri açısından karşılaştırıldı. İki grubun incelenen verileri arasında istatistiki olarak anlamlı fark bulunmadı. Gebelikte over torsiyonu, belirsiz klinik ve nesnel semptomları nedeniyle tipik olarak göz ardı edilebilir. Bu yüzden hastalara tanı koymada gecikme yaşanması olasıdır. Bu, fetus ve anne için hayatı tehdit edici bir durum oluşturabilir. Sonuç: Over torsiyonu tanısı alan gebeler için cerrahi tedavi çok önemlidir. Tanı ve tedavide gecikme olmaması gerekir. Cerrahi tedavide tek başına torsiyone olan overin detorsiyone edilmesi ya da detorsiyona ek olarak torsiyone olan adnexin etraf dokulara cerrahi olarak sabitlenmesi yöntemleri kullanılabilinir.
ABSTRACT
Objective: Pregnancy creates a suitable basis for torsion of the adnexa. However, ovarian torsion in pregnancy is not a common condition. In this study, clinical and laboratory results of women who underwent surgery with the diagnosis of ovarian torsion during pregnancy were examined. Materials and Methods: Medical records of pregnant women who were operated for ovarian torsion in the obstetrics and gynecology clinics of two university hospitals between 2015-2021 were reviewed. A total of 29 pregnant patients with ovarian torsion, 19 in the first trimester and 10 in the second and third trimesters, were included in the study. Results: It was determined that eight of the pregnancies whose data were analyzed within the study were created using assisted reproductive techniques. The pregnant women were divided into two groups according to being in the first and second-third trimesters and they were compared in terms of clinical, laboratory, ultrasonographic findings and delivery methods. There was no statistically significant difference between the analyzed data of the two groups. Ovarian torsion in pregnancy is typically overlooked due to its unclear clinical and objective symptoms. Therefore, it is possible to experience a delay in diagnosing patients. This can be a life-threatening situation for the fetus and mother. Conclusion: Surgical treatment is very important for pregnant women diagnosed with ovarian torsion. There should be no delay in diagnosis and treatment. In surgical treatment, detorsioning of the torsioned ovary alone or surgical fixation of the torsioned adnexa to the surrounding tissues in addition to detorsion can be used.
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