Table 5. Surgical characteristics in patients with ovarian torsion underwent radical or conservative surgery.
| Radical surgery (n = 27) Median (range) |
Conservative surgery (n = 15) Median (range) |
P-value | |
|---|---|---|---|
| Age (year) | 42 (12–82) | 24 (13–45) | <0.01* |
| Surgical time (min) | 70 (29–190) | 60 (30–200) | 0.66 |
| Blood loss (mL) | 50 (50–500) | 50 (50–500) | 0.66 |
| Tumor size (cm) | 8.5 (4.2–17) | 7.0 (4.6–12) | 0.11 |
| Hospital stay (day) | 5 (2–9) | 4 (2–7) | 0.11 |
| Time interval | |||
| From symptom onset to ED admission (hr) | 12 (0–48) | 12 (1–96) | 0.76 |
| From admission to surgery (hr) | 1.5 (1–11) | 1 (1–11.5) | 0.84 |
| From gynecologic evaluation to surgery (hr) | 2 (1–11) | 2 (1–11) | 0.97 |
| Op type [n (%)] | 0.1 | ||
| Laparoscopy | 27 (55.6%) | 12 (80%) | |
| Laparotomy | 12 (44.4%) | 3 (20%) | |
| Tumor type (n) | |||
| Simple cyst | 9 (33.3%) | 8 (53.3%) | 0.17 |
| Mature cystic teratoma | 6 (22.2%) | 4 (26.7%) | 0.51 |
| Endometrioma | 4 (14.8%) | 1 (6.7%) | 0.4 |
| Fibroma or fibrothecoma | 4 (14.8%) | 0 (0%) | 0.15 |
| Necrosis of ovary | 1 (3.7%) | 0 (0%) | 0.64 |
| Symptoms and signs (n) | |||
| Ovarian or pelvic mass | 27 (100%) | 15 (100%) | 1 |
| Pelvic pain | 25 (92.6%) | 15 (100%) | 0.5 |
| Nausea and vomiting | 3 (11.1%) | 5 (33.3%) | 0.09 |
| Peritoneal sign | 2 (7.4%) | 0 (0%) | 0.4 |
| WBC > 12,000 | 5 (18.5%) | 1 (6.7%) | 0.53 |
| Fever | 1 (3.7%) | 0 (0%) | 0.39 |
| Urinary symptoms | 0 (0%) | 1 (6.7%) | 0.35 |
| Diarrhea | 1 (3.7%) | 1 (6.7%) | 1 |