case_images: PMC5415195_01
case_images: Laparoscopic right uteroovarian ligament (UOL) truncation. RO: right ovary, LO: left ovary, UT: uterus, USL: uterosacral ligament.
case_images: 40738_2014_2_Fig1_HTML.jpg
case_images: PMC5415195_01_40738_2014_2_Fig1_HTML.jpg
case_images: Fig1
case_images: Somerville, NJ, USA) was initiated at the right UOL attachment to the right ovary with sequential bites spaced 1 cm apart and ending at a point 5 mm proximal to the site of the uterine insertion of the UOL (Figure 1a). The suture was then tied with standard IK in order to restore normal length to 2 to 3 cm (Figure 1b).
case_images: Laparoscopic right uterosacral ligament (USL) fixation/oophoropexy. RO: right ovary, UT: uterus, LUSL: left uterosacralligament.
case_images: 40738_2014_2_Fig2_HTML.jpg
case_images: PMC5415195_01_40738_2014_2_Fig2_HTML.jpg
case_images: Fig2
case_images: Somerville, NJ, USA) with attachment of the antimesenteric aspect of the ovarian apex (sutures at cortical depth of 5 mm at the ovarian pole opposite to insertion of uteroovarian ligament) to the apex of the right USL, and attachment of the lateral aspect of the ovary 1 cm inferior to ovarian apex to the mid right USL in order to ensure an axial orientation of the ovary in the pelvis and placement in the right ovarian fossa (Figure 2). Permanent suture was utilized given failure of the prior USL oophoropexy with absorbable suture. Since this procedure, she has done well and has not had any additional episodes of right ovarian torsion in the past 45 months.