Laparoscopic detorsion and fertility preservation in twisted ischemic adnexa – A single-center prospective study

Balasubramaniam, Devi; Duraisamy, Kavitha Yogini; Ezhilmani, Malathi

doi:10.4103/gmit.gmit_20_19

Cited by 18 publications

(11 citation statements)

References 13 publications

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“…Aside from one other study, 4 research on surgical management for adnexal torsion in adults is drawn primarily from single-institution retrospective analyses or case reports. 5,6,12,13,27 Use of the NSQIP database increases the generalizability of our findings and facilitates the assessment of changes in surgical practice over a 13-year period.…”

Section: Discussionmentioning

confidence: 87%

“…[3][4][5][6][7][8][9][10][11] Therefore, ovarian conservation is now considered the standard of care for adnexal torsion. 3,7,8,[12][13][14] Despite the safety of ovarian conservation, oophorectomy remains common in the management of torsion. 1,3,4,12,15 In November 2016, the American See related editorial on page 886.…”

Section: Resultsmentioning

confidence: 99%

“…A growing body of evidence demonstrates the safety of conservative management and the potential risks of iatrogenic menopause, which suggests that the ovarian conservation rate for premenopausal women should be nearly 100%, similar to the rate observed in adolescents. 2,3,[7][8][9][12][13][14] Given that the majority of the literature on this topic comes from the pediatric and adolescent population, obstetrician-gynecologists taking care of adult patients may be less familiar with these recent data, leading to increased rates of oophorectomies for adults with torsion. To address this issue, governing bodies such as ACOG, the American Society for Reproductive Medicine, and the American Association of Gynecologic Laparoscopists should consider providing updated guidance on ovarian conservation based on menopausal status, which is a more objective and clinically relevant marker than future fertility desires.…”

Section: Discussionmentioning

confidence: 99%

“…3–11 Therefore, ovarian conservation is now considered the standard of care for adnexal torsion. 3,7,8,12–14…”

mentioning

confidence: 99%

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Changing Practices in the Surgical Management of Adnexal Torsion

Ryles

Hong

Andy

et al. 2023

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 87%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…3–11 Therefore, ovarian conservation is now considered the standard of care for adnexal torsion. 3,7,8,12–14…”

mentioning

confidence: 99%

See 2 more Smart Citations

Changing Practices in the Surgical Management of Adnexal Torsion

Ryles

Hong

Andy

et al. 2023

Obstetrics &Amp; Gynecology

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“…The final stage is the interruption of the arterial blood supply which may be inaugural in the event of sudden torsion. If left untreated, this ischemia will lead to necrosis of the ovary, fallopian tube or entire appendix and may decrease subsequent fertility in young patients [17] . It can also be complicated by gangrene, infection, peritonitis and in rare cases death (mainly in young girls) [18] , [19] .…”

Section: Clinical Discussionmentioning

confidence: 99%

Adnexal torsion caused by tuberculous pyosalpinx: An uncommon case report of urogenital tuberculosis

Slaoui¹,

Slaoui

Zeraidi³

et al. 2022

International Journal of Surgery Case Reports

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Background According to the World Health Organization, TB is a global public health problem and it remains in 2020 the deadliest infectious disease in the world, ahead of Covid19 ( Global Tuberculosis Report 2020 , 2020). Morocco is an endemic area with more than 30,000 new cases of all forms of tuberculosis each year ( Plan stratégique national 2018-2021 de lutte antituberculeuse , 2018). UGTB is the second most frequent localization after lymph node involvement and is responsible for 30 to 40% of all extrapulmonary cases. Case presentation We hereby present the uncommon case of a 27-year-old virgin woman with unremarkable medical and surgical histories, who presented at the emergency department for left-sided pelvic pain of acute installation. An exploratory laparotomy using a Pfannenstiel incision, demonstrated a peritoneal effusion of low abundance with a twisted left ovary and a huge pyosalpinx. Detorsion was then carefully performed, with improvement in color of the ovary and decrease in edema within 10 min. Histopathological study of the Fallopian tube biopsy revealed granulomatous abscessificated salpingitis with genital tuberculosis. Thus, the patient received her anti-tuberculosis treatment with a course of 6 months of 2HRZE/4HR. Conclusions In view of the resurgence of cases of tuberculosis of all forms, the importance of prevention and screening should not be underestimated, especially in endemic areas. In fact, only BCG at birth and the correct treatment of any primary tuberculosis infection, whatever its location, will make it possible to reduce the consequences of this affection and avoid the tragedy of the home without children.

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