Ovarian Torsion Surgery in Mumbai: Treatment and Expert Care

Ovarian torsion is a gynaecological emergency that occurs when an ovary twists around the ligaments supporting it, potentially reducing or cutting off its blood supply. For women seeking Ovarian torsion surgery in Mumbai, prompt medical assessment is essential to protect ovarian function and prevent complications. This condition can cause sudden, severe pelvic pain, often accompanied by nausea or vomiting. Timely diagnosis and appropriate surgical treatment are crucial, as delayed intervention may lead to permanent damage to the affected ovary.

For women seeking Ovarian torsion surgery in Mumbai, Dr. Maitreyee Parulekar at Kirit Nursing Home provides specialist gynaecological care. Understanding the symptoms, diagnostic process, surgical options, and recovery expectations can help patients and their families recognise the importance of seeking immediate medical attention. Ovarian torsion can affect women of different ages, including adolescents and women of reproductive age, and should never be ignored when symptoms develop suddenly.

What Is Ovarian Torsion?

Ovarian torsion occurs when an ovary rotates around the structures that support it, sometimes involving the fallopian tube as well. This twisting can compress the blood vessels supplying the ovary, reducing circulation and causing swelling, pain, and tissue damage.

The condition may develop when an ovary becomes enlarged due to a cyst or other mass. However, torsion can also occur in ovaries without an obvious abnormality. Early treatment is important because prolonged interruption of blood flow may damage ovarian tissue.

Common symptoms include:

• Sudden, severe pain on one side of the lower abdomen or pelvis.
• Pain that may come and go or remain persistent.
• Nausea and vomiting accompanying pelvic pain.
• Abdominal tenderness or swelling.
• Occasionally, low-grade fever, particularly when complications develop.

These symptoms can resemble appendicitis, kidney stones, or other gynaecological conditions. Therefore, ovarian torsion requires urgent evaluation rather than self-diagnosis. If sudden, severe pelvic pain develops, especially with vomiting, seek emergency medical care immediately.

Causes and Risk Factors of Ovarian Torsion

Several factors can increase the likelihood of ovarian torsion. Identifying these factors helps doctors assess symptoms and plan appropriate treatment.

Ovarian cysts and masses: A cyst or benign ovarian mass may increase the ovary’s size and weight, making it more likely to twist.

Enlarged ovaries: Ovarian enlargement associated with certain medical conditions or fertility treatments can increase the risk.

Pregnancy: Hormonal changes and ovarian cysts occurring during pregnancy may contribute to torsion in some patients.

Fertility treatment: Treatments that stimulate the ovaries can sometimes cause enlargement, increasing the risk of twisting.

Previous episodes: A history of ovarian torsion may increase the possibility of recurrence in some circumstances.

Age and anatomy: Ovarian torsion can occur at any age, although adolescents and women of reproductive age are commonly affected.

Not every patient has an identifiable risk factor. Sudden pelvic pain should be assessed promptly, even when there is no known history of ovarian cysts.

How Is Ovarian Torsion Diagnosed?

Early diagnosis is important because ovarian torsion can progress quickly. A gynaecologist evaluates the patient’s symptoms, medical history, and examination findings to determine whether urgent surgery may be necessary.

Common diagnostic steps include:

• Medical history and examination: The doctor asks about the onset and severity of pain, menstrual history, previous ovarian cysts, and associated symptoms.
• Pelvic ultrasound: Ultrasound, often combined with Doppler imaging, helps assess ovarian size, appearance, and blood flow.
• Blood tests: These may help assess infection, anaemia, or other concerns, although blood tests cannot independently confirm or rule out torsion.
• Additional imaging: CT or MRI may be considered when the diagnosis is unclear or another condition needs to be investigated.

Importantly, normal blood flow on Doppler ultrasound does not reliably exclude ovarian torsion. If clinical suspicion remains high, the treating team may recommend urgent surgical assessment even when imaging results are inconclusive. Diagnosis and treatment should not be delayed while waiting for every test result.

Ovarian Torsion Surgery in Mumbai: Treatment Options

Surgery is generally the definitive treatment when ovarian torsion is suspected strongly enough to require operative intervention. The main objectives are to untwist the ovary, restore blood circulation where possible, treat an associated cyst, and preserve healthy ovarian tissue whenever safely feasible.

1. Laparoscopic Surgery

Laparoscopy is a minimally invasive procedure performed through small abdominal incisions using a camera and specialised instruments. It is commonly considered when the patient’s condition and surgical findings make this approach appropriate.

Potential advantages include smaller incisions, less wound-related discomfort, and a relatively quicker recovery compared with open surgery in suitable cases.

2. Detorsion and Ovarian Preservation

During detorsion, the surgeon carefully untwists the ovary to restore its position and allow blood circulation to recover. The ovary may appear dark or swollen after twisting, but this appearance alone does not necessarily mean the tissue is beyond recovery.

Whenever clinically appropriate, preserving the ovary is an important goal, particularly for patients who wish to retain their reproductive potential.

3. Ovarian Cyst Removal

If an ovarian cyst contributed to the torsion, the surgeon may consider removing it. The timing and extent of cyst removal depend on the condition of the ovarian tissue, the nature of the cyst, and the safety of the procedure.

4. Removal of the Ovary When Necessary

In severe cases, the ovary may be irreversibly damaged or there may be other findings that make removal necessary. The decision depends on the operative findings and the patient’s clinical condition.

The appropriate procedure is determined by the surgeon after considering the urgency, underlying cause, and potential benefits and risks of each option.

Benefits and Risks of Timely Surgical Treatment

Seeking Ovarian torsion surgery in Mumbai promptly can help reduce the risk of prolonged interruption to ovarian blood supply and improve the opportunity to preserve ovarian function.

Potential benefits of timely treatment include:

• Relief from torsion-related pain.
• Restoration of blood circulation when the ovary can be saved.
• Treatment of an associated ovarian cyst when appropriate.
• Reduced risk of progressive tissue damage.
• Better-informed planning for future reproductive health.

However, no procedure can guarantee ovarian preservation or future fertility. Surgical risks may include bleeding, infection, injury to nearby organs, anaesthesia-related complications, and the possibility of further treatment. The risk of losing ovarian function increases when tissue damage is extensive.

Patients should discuss these considerations with their surgeon. In an emergency, however, arranging immediate medical evaluation is more important than delaying care to compare routine appointment options.

Recovery After Ovarian Torsion Surgery

Recovery depends on the procedure performed, the extent of ovarian damage, and the patient’s general health. After laparoscopic surgery, some patients can begin gentle movement relatively early, while others may require a longer hospital stay and closer observation.

Postoperative care may include:

• Taking prescribed medication according to instructions.
• Keeping surgical incisions clean and following wound-care guidance.
• Gradually returning to everyday activities as advised.
• Attending scheduled follow-up appointments.
• Discussing ultrasound monitoring if recommended by the treating doctor.

Patients should seek urgent medical advice if they develop severe or worsening abdominal pain, persistent vomiting, fever, heavy bleeding, or other concerning symptoms after surgery.

Follow-up care is also an opportunity to discuss the underlying cause of torsion, the possibility of recurrent cysts, menstrual health, and future pregnancy plans. A personalised recovery plan helps patients understand when they can safely return to work, exercise, and other activities.

Why Consult Dr. Maitreyee Parulekar?

Dr. Maitreyee Parulekar is a gynaecologist, gynaecological oncologist, and minimally invasive surgeon who treats a range of benign and complex gynaecological conditions. Her training includes advanced laparoscopic and robotic surgery, with a focus on appropriate surgical treatment and preservation of reproductive organs whenever medically feasible.

Her qualifications include:

• Master’s degree in Obstetrics and Gynaecology from Seth GS Medical College and KEM Hospital, Mumbai.
• MRCOG (UK), from the Royal College of Obstetricians and Gynaecologists.
• FMAS (MUHS), a fellowship qualification in minimal access surgery.
• Fellowship training in gynaecological oncosurgery and robotic surgery in Seoul, South Korea.
• Visiting fellowship training in minimally invasive gynaecology at Mount Sinai Hospital, Toronto.

She is also a Gold Medallist in Obstetrics and Gynaecology from KEM Hospital. Her clinical interests include laparoscopic surgery, ovarian cyst treatment, fertility-preserving procedures, and gynaecological cancer surgery.

For patients considering Ovarian torsion surgery in Mumbai, her experience with minimally invasive gynaecological procedures is relevant when assessing the appropriate surgical approach. The treatment plan depends on the patient’s symptoms, test results, ovarian condition, and reproductive goals.

Patient-Centred Care at Kirit Nursing Home

Kirit Nursing Home, located in Vile Parle East, Mumbai, is one of the centres where Dr. Maitreyee Parulekar practises. Patients can seek consultation for gynaecological symptoms, diagnostic evaluation, and surgical treatment planning.

A consultation typically involves reviewing symptoms and medical records, explaining the likely diagnosis, and discussing the next steps. In emergency situations, immediate hospital evaluation takes priority over a routine outpatient appointment. Patients should not delay emergency treatment while attempting to contact a particular specialist.

For non-emergency follow-up, patients can discuss recovery, fertility-related concerns, and further monitoring with their treating doctor. Clear communication and individualised guidance are important when managing conditions affecting reproductive health.

Frequently Asked Questions

1. Is ovarian torsion a medical emergency?

Yes. Ovarian torsion can interrupt blood flow to the ovary and cause permanent tissue damage if treatment is delayed. Sudden, severe pelvic pain, particularly with nausea or vomiting, requires immediate emergency assessment.

2. Can the ovary be saved during torsion surgery?

In many cases, the surgeon attempts to untwist the ovary and preserve it. The possibility of preservation depends on the operative findings and the extent of tissue damage. An ovary that looks dark or swollen may still recover after detorsion.

3. How long does recovery take after ovarian torsion surgery?

Recovery varies according to the surgical technique, the severity of torsion, and whether additional procedures are required. Patients undergoing uncomplicated laparoscopy may recover more quickly than those requiring open surgery. Follow your surgeon’s instructions regarding activity and follow-up.

4. How can I consult Dr. Maitreyee Parulekar for ovarian torsion treatment?

For non-emergency consultations, contact Dr. Maitreyee Parulekar at 72087 27500 or email info@drmaitreyeegynec.in. If you have symptoms suggesting ovarian torsion, go to the nearest emergency department immediately instead of waiting for an appointment.

Book a Consultation With Dr. Maitreyee Parulekar

If you have been diagnosed with an ovarian cyst or need specialist advice about gynaecological surgery, Dr. Maitreyee Parulekar can assess your condition and explain appropriate treatment options.

For Ovarian torsion surgery in Mumbai, contact the clinic for consultation and surgical planning. Suspected torsion requires emergency assessment, and treatment should not be delayed.

+91 72087 27500 | +91 97023 58222
info@drmaitreyeegynec.in
Get Directions to the Clinic – Kirit Nursing Home, Vile Parle