Twisted devitalised ovary

27 year old Nulliparous lady with episode of pain lower abdomen 15 days ago. Better with medication. Now again had pain and USG showed large 16 weeks ovary. Doppler ruled out twisting. Pulse was around 120/min. MRI done apparently confirmed the USG findings. We were called to do the laparoscopy.

The clip clearly shows the findings. Would anyone manage any differently with these findings? Let’s discuss management and treatment options for twisted ovary.