Letter to the Letter Comment on: Role of Oophoropexy in Pediatric Primary Ovarian Torsion Without Adnexal Lesions: A Systematic Review and Meta-Analysis

We enthusiastically read the recent systematic review and meta-analysis by Mandarano et al. evaluating the role of oophoropexy in pediatric primary ovarian torsion [1]. The authors should be commended for addressing an important and clinically controversial topic in pediatric surgery, where evidence remains limited and practice patterns are highly variable. By synthesizing available retrospective data using a PRISMA-based approach, the study provides a valuable overview of recurrence patterns following ovarian detorsion and contributes meaningfully to discussions on fertility-preserving surgical strategies.