Conservative management of adnexal torsion

Zweizig, Susan; Perron, Joanne; Grubb, Debra K.; Mishell, Daniel R.

doi:10.1016/0002-9378(93)90691-b

Cited by 108 publications

(35 citation statements)

References 3 publications

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“…In the past, adnexal torsion was treated by salpingooophorectomy without untwisting the adnexa to avoid potential thromboembolism from ovarian vein thrombosis [5]. However, a significant association between thromboembolism and untwisting an ischemic pedicle has never been established [6].…”

Section: Introductionmentioning

confidence: 99%

Management of adnexal torsion by laparoscopic approach

et al. 2012

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The study aimed to evaluate the effectiveness and safety of laparoscopic management of adnexal torsion. Early minimal invasive surgical management of adnexal torsion with the main emphasis on an organ-preserving procedure can safely be recommended. Although the incidence of adnexal torsions has increased, the morbidity rate has declined due to safer diagnostics and operative strategies. This is a retrospective case-control study (Canadian Task Force classification II-3) of 33 cases of adnexal torsion over an 11-year period (December 1999-September 2010) in a gynecologic endoscopy unit of a university hospital. Interventions include early diagnostic laparoscopy and utmost protection of the surrounding tissue. Thirty-three cases of laparoscopically managed adnexal torsions were analyzed. Fifty-two percent had conservative organ-sparing procedures, while 48 % underwent resection of ovary, tube, or both. The mean operating time was 69.2 min. There were no complications or conversions to laparotomy. The most common predisposing factor was an adnexal mass with symptoms of pain. Torsion on the right tube is more common than on the left. Laparoscopic surgery is an effective, safe, and feasible method in the diagnosis and treatment of adnexal torsion.

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Section: Introductionmentioning

confidence: 99%

Management of adnexal torsion by laparoscopic approach

et al. 2012

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“…3 Several studies have shown that in the absence of a grossly necrotic ovary, untwisting of the adnexa can be performed, and the ovary salvaged, without significant risk of thromboembolism. 16,17 Conversely, an obvious hemorrhagic infarction or gangrenous adnexal structure requires surgical removal without attempt to untwist.…”

Section: Discussionmentioning

confidence: 99%

Ovarian torsion in a 20-year-old patient

Martin

Magee

2006

CJEM

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Ovarian torsion is an uncommon gynecological emergency that requires prompt recognition and treatment. It may present with nonspecific signs and symptoms, and should be considered in any female with acute abdominal pain. The diagnosis is based on an awareness of the relevant risk factors, the clinical presentation, and a high index of suspicion. Timely investigation and management can make the difference between ovarian loss and salvage -an outcome of great importance in the population of reproductive age females. RÉSUMÉLa torsion de l'ovaire est une urgence gynécologique rare qui nécessite une identification et un traitement immédiats. Elle peut être accompagnée de signes et symptômes non spécifiques et doit être évoquée chez toute patiente qui accuse une douleur abdominale. Le diagnostic est fondé sur une reconnaissance des facteurs de risque pertinents, la présentation clinique et un indice de suspicion élevé. Une investigation et une prise en charge en temps opportun peuvent permettre de sauver l'ovaire, un résultat d'une importance vitale pour les femmes en âge de procréer.

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“…If the ovaries are not clearly visualized with vaginal or abdominal ultrasound, magnetic resonance imaging (MRI) can be used to avoid the risk of ionizing radiation. MRI findings consistent with ovarian torsion include a thick edematous pedicle and ovary, lack of enhancement, and signal intensities with hemorrhage 10 .…”

Section: Clinical Manifestations and Diagnosismentioning

confidence: 99%