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Podcast: Stay Current in Pediatric Surgery
Episode: Ovarian Torsion
Description: In this episode, Dr Jennifer Dietrich from Texas Children’s Hospital discusses ovarian torsion.
Table of contents:
00:00 – PLAY FROM THE BEGINNING
01:33 – Evaluation of the adolescent with lower abdominal pain
02:49 – Ultrasound
04:29 – Ovarian blood flow
07:06 – Peripherally located follicle
08:06 – Ovarian mass or lesion
11:14 – What findings are suggestive of malignancy?
12:13 – Role for CT or MRI
13:16 – Are pelvic exams necessary?
13:58 – Labs
15:01 – Tumor markers
16:50 – When to operate with normal blood flow
19:40 – Classic presenation of ovarian torsion
21:09 – Difference between symptomatic ovarian cyst and ovarian torsion
22:38 – Operative technique
23:48 – Cystectomy vs fenestration
26:08 – Ovarian salvage
27:51 – Ovarian bivalve procedure
30:48 – Oophoropexy
35:00 – Tubo-ovarian abscess
35:53 – Pregnancy
37:57 – Ectopic pregnancy
39:49 – Endometriosis
42:15 – Post-operative management
43:26 – Oral contraceptives
44:19 – Surveillance
45:33 – Closing remarks
Intro track is adapted from "I dunno" by...