OXIDATIVE STRESS DURING OVARIAN TORSION IN PEDIATRIC AND ADOLESCENT PATIENTS: CHANGING THE PERSPECTIVE OF THE DISEASE (REVIEW ARTICLE)

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LAGANA ANTONIO SIMONE; SOFO VINCENZA; SALMERI FRANCESCA MARIA; PALMARA VITTORIO ITALO; TRIOLO ONOFRIO; TERZIC MILAN MILOSAV; PATRELLI TITO SILVIO; LUKANOVIC ADOLF; BOKAL EDA VRTCNIK; SANTORO GIUSEPPE

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Journal: International Journal of Fertility & Sterility Year:2016 | Volume:9 | Issue:4 Page(s): 416-423

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Title

OXIDATIVE STRESS DURING OVARIAN TORSION IN PEDIATRIC AND ADOLESCENT PATIENTS: CHANGING THE PERSPECTIVE OF THE DISEASE (REVIEW ARTICLE)

Author(s)

Keywords

PAEDIATRICS

ADOLESCENTS

ISCHAEMIA/REPERFUSION

OXIDATIVE STRESS

ANTIOXIDANTS

Abstract

Among the different causes of gynecological acute pelvic pain, ovarian torsion rep-resents a surgical emergency. It is a rare case in the pediatric/adolescent aged group that must be included in the differential diagnosis of any girl with abdominal pain or pelvic/abdominal mass. Current recommendations suggest that laparoscopic detorsion should be performed in order to preserve the integrity of the ovaries and fertility, although oophoropexy may be considered in case of severe necrosis. Nevertheless, maintaining the circulation of the ovary after detorsion deteriorates the tissue injury and leads to a pathologic process called ISCHAEMIA/REPERFUSION (I/R) injury, which is characterized by OXIDATIVE STRESS. During the detorsion process, an excess amount of molecular oxygen is supplied to the tissues, and reactive species of oxygen (ROS) such as superoxide radical (O2-), hydrogen peroxide (H2O2), hydroxyl radical (OH·), as well as reactive nitrogen species (RNS) are produced in excess. ROS, RNS and their toxic products cause DNA damage and lipid peroxidation in the cellular and mitochondrial membranes, leading to cell death. In spite of attention on this topic, currently there is no shared and clear evidence about the use of anti-inflammatory and antioxidant agents to prevent I/R damage after laparoscopic ovarian detorsion. Considering this element, future research should aim to develop shared protocols for the clinical use (route of application, dosage and time of application) of ANTIOXIDANTS after laparoscopic management of this condition.

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APA: Copy

LAGANA, ANTONIO SIMONE, SOFO, VINCENZA, SALMERI, FRANCESCA MARIA, PALMARA, VITTORIO ITALO, TRIOLO, ONOFRIO, TERZIC, MILAN MILOSAV, PATRELLI, TITO SILVIO, LUKANOVIC, ADOLF, BOKAL, EDA VRTCNIK, & SANTORO, GIUSEPPE. (2016). OXIDATIVE STRESS DURING OVARIAN TORSION IN PEDIATRIC AND ADOLESCENT PATIENTS: CHANGING THE PERSPECTIVE OF THE DISEASE (REVIEW ARTICLE). INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, 9(4), 416-423. SID. https://sid.ir/paper/305844/en

Vancouver: Copy

LAGANA ANTONIO SIMONE, SOFO VINCENZA, SALMERI FRANCESCA MARIA, PALMARA VITTORIO ITALO, TRIOLO ONOFRIO, TERZIC MILAN MILOSAV, PATRELLI TITO SILVIO, LUKANOVIC ADOLF, BOKAL EDA VRTCNIK, SANTORO GIUSEPPE. OXIDATIVE STRESS DURING OVARIAN TORSION IN PEDIATRIC AND ADOLESCENT PATIENTS: CHANGING THE PERSPECTIVE OF THE DISEASE (REVIEW ARTICLE). INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY[Internet]. 2016;9(4):416-423. Available from: https://sid.ir/paper/305844/en

IEEE: Copy

ANTONIO SIMONE LAGANA, VINCENZA SOFO, FRANCESCA MARIA SALMERI, VITTORIO ITALO PALMARA, ONOFRIO TRIOLO, MILAN MILOSAV TERZIC, TITO SILVIO PATRELLI, ADOLF LUKANOVIC, EDA VRTCNIK BOKAL, and GIUSEPPE SANTORO, “OXIDATIVE STRESS DURING OVARIAN TORSION IN PEDIATRIC AND ADOLESCENT PATIENTS: CHANGING THE PERSPECTIVE OF THE DISEASE (REVIEW ARTICLE),” INTERNATIONAL JOURNAL OF FERTILITY AND STERILITY, vol. 9, no. 4, pp. 416–423, 2016, [Online]. Available: https://sid.ir/paper/305844/en

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