TIME’S A TICKIN’: WHEN SHOULD SURGICAL INTERVENTION OCCUR IN OVARIAN TORSION?

jpedsurg.org

The standard of care for adnexal torsion in children is surgical detorsion and ovarian preservation. However, the duration of symptoms beyond which irreversible tissue damage occurs is unknown. Our objective was to define an upper limit for the window of viability when performing surgical intervention in pediatric patients with ovarian torsion.

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Article · Dec 2025 · 1 min read

In brief

This study investigates the critical time window for surgical intervention in pediatric ovarian torsion to prevent irreversible tissue damage. While surgical detorsion with ovarian preservation is standard care, the optimal timing threshold remains unclear, making this research essential for emergency surgical decision-making.

Surgical detorsion with ovarian preservation is the standard of care for pediatric adnexal torsion.
The critical time window for reversible ischemia in ovarian torsion remains undefined in current literature.
Determining symptom duration thresholds is essential for guiding timing of surgical intervention to maximize tissue salvage.

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