Letter to the Letter Comment on: Role of Oophoropexy in Pediatric Primary Ovarian Torsion Without Adnexal Lesions: A Systematic Review and Meta-Analysis

jpedsurg.org

We enthusiastically read the recent systematic review and meta-analysis by Mandarano et al. evaluating the role of oophoropexy in pediatric primary ovarian torsion [1]. The authors should be commended for addressing an important and clinically controversial topic in pediatric surgery, where evidence remains limited and practice patterns are highly variable. By synthesizing available retrospective data using a PRISMA-based approach, the study provides a valuable overview of recurrence patterns following ovarian detorsion and contributes meaningfully to discussions on fertility-preserving surgical strategies.

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Article · Feb 2026 · 1 min read

In brief

This letter responds to a systematic review examining oophoropexy's role in managing pediatric primary ovarian torsion without adnexal lesions. The commentary addresses recurrence patterns after ovarian detorsion and discusses fertility-preserving surgical approaches in a clinically controversial area where practice patterns vary widely.

Oophoropexy role in pediatric ovarian torsion remains clinically controversial with limited evidence and variable practice patterns.
Systematic review synthesizes retrospective data on recurrence patterns after ovarian detorsion in children.
Study contributes to evidence base for fertility-preserving surgical strategies in pediatric ovarian torsion.
PRISMA-based meta-analysis addresses important gap in pediatric surgery literature on oophoropexy outcomes.

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