Journal of minimally invasive gynecology · 2026
Adnexal Torsion: The "Hotdog in a Bun" Technique for Adnexal Detorsion and Fixation A Step-by-Step Demonstration Video.
СтатьяНазвание и аннотация: Перевод в очереди
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Lorente Diego Martin, Piñeiro Famá Micaela
Аннотация
STUDY OBJETIVE: To showcase the 'Hotdog in a Bun' technique, an accessible yet underutilized laparoscopic ovarian pexy method, applicable as a primary or prophylactic intervention after adnexal detorsion.
DESIGN: The video features the case of a 23-year-old, nulliparous woman with an unremarkable medical and surgical history. She underwent urgent laparoscopic adnexal detorsion, immediately followed by prophylactic oophoropexy utilizing the 'Hotdog in a Bun' technique to prevent recurrent torsion within the same operative setting.
SETTING: This surgical case was performed as an emergency procedure within the on-call service at the Hospital Italiano de Buenos Aires, Argentina. The intervention was carried out collaboratively by a third-year Obstetrics and Gynecology resident and the attending gynecologist on call.
INTERVENTION: This video meticulously details the 'Hotdog in a Bun' technique, a less commonly described method for ovarian suspension to the round ligament [1]. The presentation outlines the step-by-step surgical intervention and highlights the subsequent positive clinical outcomes.
CONCLUSION: The 'Hotdog in a Bun' technique is a simple, effective, and readily reproducible method for ovarian pexy, suitable for gynecologic surgeons proficient in basic laparoscopic suturing. This technique holds significant clinical application for ovarian preservation post-detorsion, particularly in cases without predisposing risk factors [1]. It preserves normal tubo-ovarian anatomy and maintains the ovary in a physiologic pelvic position, supporting future fertility [2,3]. It can also serve as a prophylactic measure for securing the contralateral ovary, aiming to reduce recurrence rates (reported 11%-18%), thereby significantly reducing the overall risk of recurrent ovarian torsion [4,5]. VIDEO ABSTRACT.
DESIGN: The video features the case of a 23-year-old, nulliparous woman with an unremarkable medical and surgical history. She underwent urgent laparoscopic adnexal detorsion, immediately followed by prophylactic oophoropexy utilizing the 'Hotdog in a Bun' technique to prevent recurrent torsion within the same operative setting.
SETTING: This surgical case was performed as an emergency procedure within the on-call service at the Hospital Italiano de Buenos Aires, Argentina. The intervention was carried out collaboratively by a third-year Obstetrics and Gynecology resident and the attending gynecologist on call.
INTERVENTION: This video meticulously details the 'Hotdog in a Bun' technique, a less commonly described method for ovarian suspension to the round ligament [1]. The presentation outlines the step-by-step surgical intervention and highlights the subsequent positive clinical outcomes.
CONCLUSION: The 'Hotdog in a Bun' technique is a simple, effective, and readily reproducible method for ovarian pexy, suitable for gynecologic surgeons proficient in basic laparoscopic suturing. This technique holds significant clinical application for ovarian preservation post-detorsion, particularly in cases without predisposing risk factors [1]. It preserves normal tubo-ovarian anatomy and maintains the ovary in a physiologic pelvic position, supporting future fertility [2,3]. It can also serve as a prophylactic measure for securing the contralateral ovary, aiming to reduce recurrence rates (reported 11%-18%), thereby significantly reducing the overall risk of recurrent ovarian torsion [4,5]. VIDEO ABSTRACT.