Ovarian Torsion During Pregnancy: Risks and Surgical Options - Obstetrics and Gynecology

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Ovarian torsion is a serious condition that can occur during pregnancy, and it requires prompt medical attention. It occurs when an ovary twists around the ligaments that hold it in place, cutting off its blood supply. This can lead to severe pain and, if not treated quickly, can result in the loss of the affected ovary.

In your wife's case, being 12 weeks pregnant and experiencing left-sided abdominal pain, the diagnosis of ovarian torsion is concerning. The need for surgical intervention often depends on the severity of the torsion and the duration of symptoms. If the blood supply to the ovary is compromised for too long, it can lead to necrosis (tissue death), which would necessitate the removal of the ovary.

Surgery for ovarian torsion during pregnancy is typically performed laparoscopically, which is a minimally invasive approach. This method is preferred because it reduces recovery time and minimizes risks associated with larger incisions. However, the decision to operate must be made quickly, as delaying surgery could lead to complications for both the mother and the fetus.

Regarding the impact on the pregnancy, the risks associated with surgery during the first trimester are generally low, but they do exist. The primary concern is the potential for miscarriage, which can occur due to the stress of surgery or anesthesia. However, if the surgery is performed promptly and the pregnancy is otherwise healthy, many women go on to have successful pregnancies after treatment for ovarian torsion.

It is essential to communicate openly with your wife's healthcare team. They can provide specific information about the risks involved in surgery, the potential impact on the pregnancy, and the likelihood of preserving the ovary. If your wife is experiencing significant pain, it is crucial to seek immediate medical attention, as this could indicate worsening of the condition.

In summary, ovarian torsion is a critical condition that requires timely surgical intervention, especially during pregnancy. While there are risks involved, the benefits of addressing the torsion often outweigh the potential complications. The healthcare team will be able to provide the best guidance based on your wife's specific situation and the health of the pregnancy. It is advisable to follow up with her primary physician as soon as possible to ensure she receives the necessary care.