Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function

Oelsner, Gabriel; Cohen, Shlomo B.; Soriano, David; Admon, Dahlia; Mashiach, Shlomo; Carp, Howard

doi:10.1093/humrep/deg498

Cited by 242 publications

(180 citation statements)

References 9 publications

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“…Laparoscopy has been shown to be a favorable option in patients with torsion. There has been a trend towards increased used of laparoscopy and adnexal-sparing procedures in many centers because of its obvious benefits regarding safety, reliability, and preserving fertility [1,7,18,19].…”

Section: Discussionmentioning

confidence: 99%

“…More than half of the patients having an adnexectomy were postmenopausal. In the recent literature, the rate of conservative laparoscopic treatment varies from 35 to 93 % [1,4,7,18,20].…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic management of adnexal torsion has been shown to be feasible and preferable to laparotomy. The advantages of laparoscopy include short hospital stay and recovery time, in addition to the fact that conservative procedures, such as detorsion and ovarian cystectomy, can be done laparoscopically [7].…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionmentioning

confidence: 99%

“…More than half of the patients having an adnexectomy were postmenopausal. In the recent literature, the rate of conservative laparoscopic treatment varies from 35 to 93 % [1,4,7,18,20].…”

Section: Discussionmentioning

confidence: 99%

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Management of adnexal torsion by laparoscopic approach

et al. 2012

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“…There is no correlation between the macroscopic appearance of ovary with torsion during operation, recovery and functions (5) . If there is excessive edema or hemorrhagia in the gonad, interventions other than detorsion should be performed under elective conditions in a second operation in order to minimize the risk of ovary being injured.…”

Section: Discussionmentioning

confidence: 98%

Surgical approaches to recurring torsions and the effects of the attacks on the ovarian reserve: a case study in light of the literature

Üçkuyu¹,

Turhan²,

Çiftçi³

et al. 2013

J Turk Soc Obstet Gynecol

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“…Torsiyon olgularında görülen kistlerin büyük bir kısmının fonksiyonel kist olduğu belirlenmiştir. Torsiyon nedeniyle ödemli olan over dokusundan kistektomi yapılırken daha fazla zarar verileceğinden endişe edilmektedir (30).…”

Section: Over Torsi̇yonu Tanisinda Serum Beli̇rteçleri̇ni̇n Yeri̇ Var Midir?unclassified

Over Torsiyonuna Genel Bakış

Boynukalın¹,

Güven²,

Güven³

et al. 2016

Kocatepe Tıp Dergisi

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ÖZOver torsiyonu nadir görülen ancak ciddi sonuçlara yol açabilecek jinekolojik acillerden biridir. Over torsiyonu tanısı her zaman kolay olmamaktadır. Gri skala ultrasonografi (USG) her ne kadar over torsiyonu için özgün bulgular ortaya koymasa da ilk başvurulan görüntüleme yöntemi-dir. Doppler USG ile kan akımının gösterilmiş olması over torsiyonu tanısını ekarte ettirmese de, kan akımınının belirlenmemesi tanıyı destekleyici bulgulardandır. Cerrahi öncesi over torsiyonu tanısında güvenilirliği ve duyarlılığı yüksek serum belirteci henüz tanımlanmamıştır. Hızlı tanı ve cerrahi tedavi, hastanın fertilitesinin; overinin korunmasının temelidir. Bu derlemenin amacı over torsiyonu konusunda genel değerlendirme yapmaktır.Anahtar Kelimeler: Over torsiyonu, IL-6, iskemi modifiye albumin, D-dimer, IL-8, USG, doppler USG. ABSTRACTTorsion of the ovary is rare but serious cause of gynecologic emergency. Diagnosis of ovarian torsion (OT) is difficult. Ultrasonography has no specific finding for diagnosis of OT, it is initial imaging technique. Presence of vascular flow detected by doppler USG doesn't exclude diagnosis of OT but, absence of vascular flow is suspicious for diagnosis. The main challenge about diagnosis is that many of patients undergo surgery without confirmed diagnosis while rapid clinical workup and surgical treatment are keys to preserve fertility. Specific biomarkers supporting diagnosis of OT aren't currently available. Aim of article is to make an overview of OT.

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Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function

Abstract: Detorsion with adnexal sparing is the treatment of choice for twisted ischaemic adnexa, and preferably performed by laparoscopy.

Cited by 242 publications

References 9 publications

Management of adnexal torsion by laparoscopic approach

Management of adnexal torsion by laparoscopic approach

Surgical approaches to recurring torsions and the effects of the attacks on the ovarian reserve: a case study in light of the literature

Over Torsiyonuna Genel Bakış

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