Laparoscopy Clinical Trial
Official title:
Blood and Serum Markers in Patients Operated for Suspected Ovarian Torsion
Adnexal torsion , is a severe, though uncommon gynecological emergency, with a prevalence of 2.7-3%. The need for prompt diagnosis and treatment in order to save ovarian tissue has been realized a long time ago. A marker that will aid in the diagnosis of torsion and prevent missed diagnosis and unecessary loss of ovarian tissue, while not increasing the rate of unecessary laparoscopic interventions is much needed. To our knowledge, such marker has not been found. The purpose of this study is to find a marker using blood/serum from patients undergoing laparoscopy for suspected ovarian torsion
Adnexal torsion, is a severe, though uncommon gynecological emergency, with a prevalence of
2.7-3% (Taskin 1998; Hibbard1985;Burnett 1988). Torsion commonly occurs in children and
women of childbearing age (Haskins 1986).
The need for prompt diagnosis and treatment in order to save ovarian tissue has been
realized a long time ago (Ben-Arie 1995). The accuracy of clinical diagnosis is low, with a
false negative rate of up to 56% (Cohen 2001, Bar-On 2010,Mashiach 2010). Doppler ultrasound
tests, do not "necessarily exclude an ovarian torsion; in fact, "the diagnosis of" torsion
is missed in 60% of cases, and time to diagnosis in these cases is delayed" (Pena 2001).
Therefore there is a need for a marker that will aid in the diagnosis of torsion and prevent
missed diagnosis and unecessary loss of ovarian tissue, while not increasing the rate of
unecessary laparoscopic interventions, which are often performed in an emergency setup, by
unqualified personnel.
To our knowledge, such marker has not been found. The purpose of this study is to find a
marker, or marker combination, using blood/serum from patients undergoing laparoscopy for
suspected ovarian torsion study type: a prospective, controlled, blind study study
population: 200 women undergoing laparoscopy for ovarian torsion
;
Observational Model: Cohort, Time Perspective: Prospective
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