Oophoropexy
A laparoscopic procedure to surgically fix the ovary to the pelvic wall — performed to prevent recurrent ovarian torsion in women at high risk of twisting again after a first episode.
What is Oophoropexy?
Oophoropexy is a laparoscopic procedure in which the ovary is sutured or fixed to the pelvic sidewall, round ligament, or posterior uterus to prevent it from twisting on its vascular pedicle again. It is performed in selected cases following ovarian detorsion — particularly in women with anatomical predisposition to torsion, recurrent torsion, or hypermobile ovaries in paediatric or adolescent patients. Dr. Ashwani Narla performs oophoropexy at Lux Hospitals, Hyderabad, as part of the emergency or elective management of ovarian torsion.
Suitable for selected women who have experienced recurrent ovarian torsion, have anatomical risk factors predisposing to torsion, or in whom the clinical risk of re-torsion is high enough to warrant preventive surgical fixation.
How the Procedure Works
Anaesthesia & Access
General anaesthesia is administered and laparoscopic ports are placed. The pelvis is assessed and the ovary and its mobility are evaluated.
Ovarian Assessment
The ovary is examined for cysts or predisposing anatomical features. Any coexisting cyst is removed before fixation to address the cause of torsion.
Fixation Point Selection
The target fixation site — pelvic sidewall, round ligament, or posterior uterus — is selected to achieve the most stable and anatomically correct position.
Suture Fixation
The ovary or its ligament is fixed to the selected structure using non-absorbable sutures, restricting excessive mobility while preserving normal ovarian function.
Closure & Recovery
Ports are closed; the procedure is typically completed as a day case or with one overnight stay. Return to normal activities occurs within three to five days.
Outcomes
Who Needs This Treatment?
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Prevents recurrence of ovarian torsion in high-risk women
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Preserves the ovary, its function, and fertility long-term
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Simple, quick procedure often performed at the same time as detorsion
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Minimal recovery time — typically day case or one overnight stay
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Effective in paediatric and adolescent patients with hypermobile ovaries
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Avoids the need for oophorectomy to prevent recurrence
Oophoropexy is a small procedure with a big purpose — keeping the ovary where it belongs, so it can keep doing what it needs to do, without the risk of twisting again.
— — Dr. Ashwani Narla, Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Oophoropexy Cost in Hyderabad
The cost of oophoropexy in Hyderabad can vary depending on the patient's condition, history of ovarian torsion, surgical complexity, diagnostic investigations, surgical technique, and post-operative care. Oophoropexy is a surgical procedure in which the ovary is fixed in position to help reduce the risk of recurrent torsion. The estimated cost generally ranges from ₹1,00,000 to ₹1,90,000, with an approximate average cost of ₹1,45,000.
| Procedure | Approximate Cost Range |
|---|---|
| Oophoropexy for Ovarian Torsion – Fixation to Prevent Recurrence | ₹1,00,000 – ₹1,90,000 |
The actual treatment cost may vary depending on the patient's medical condition, previous episodes of ovarian torsion, diagnostic tests, surgical approach, anesthesia charges, hospital stay, medications, and any additional procedures that may be required.
Factors That Influence Oophoropexy Cost
Several factors can affect the overall cost of ovarian fixation surgery:
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History of ovarian torsion: Previous or recurrent episodes of torsion may influence the decision to consider oophoropexy and the complexity of treatment.
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Condition of the ovary: The condition and viability of the ovary are assessed during treatment and may influence the surgical approach.
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Diagnostic investigations: Ultrasound, blood tests, and other imaging or assessments may be required before surgery.
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Surgical technique: The technique used to secure the ovary and the overall complexity of the procedure can affect treatment expenses.
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Anesthesia and hospital care: Anesthesia, hospitalization, medications, monitoring, and follow-up care may contribute to the total cost.
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Additional procedures: If other gynecological treatment is required during the same surgical session, the overall cost may increase.
Is Oophoropexy Covered by Insurance?
Oophoropexy may be covered by health insurance when it is considered medically necessary, particularly when performed to reduce the risk of recurrent ovarian torsion. Coverage depends on the individual policy, inclusions, exclusions, and insurer approval requirements. The hospital's insurance support team can assist with documentation and guide patients through the cashless or reimbursement process.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Ashwani Narla
Consultant Obstetrician, Gynaecologist & Laparoscopic Surgeon
Dr. Ashwani Narla is a Consultant Obstetrician, Gynecologist & Laparoscopic Surgeon at Lux Hospitals, Hyderabad. She provides evaluation and treatment for ovarian torsion and other gynecological conditions, including minimally invasive surgical procedures where appropriate. During the consultation, Dr. Ashwani Narla will review the patient's symptoms, medical history, previous episodes of ovarian torsion, examination findings, and diagnostic reports. Based on the clinical evaluation, she will determine whether oophoropexy may be appropriate to help reduce the risk of recurrent torsion. She will also discuss the surgical approach, expected recovery, and estimated treatment cost based on the patient's individual needs.
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