Adnexal torsion: a report on forty-five cases

Objectives: To evaluate the clinical findings, evolution of treatment and ovarian function following conservative therapy. Study design: A case series of 45 patients presenting with adnexal torsion between January 1989 and June 1999. All patients were surgically treated, either conservatively or rad...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2001-09, Vol.98 (1), p.91-96
Main Authors: Descargues, Gérôme, Tinlot-Mauger, Francine, Gravier, Antoine, Lemoine, Jean Paul, Marpeau, Loı̈c
Format: Article
Language:English
Subjects:
Adnexal Diseases - diagnosis
Adnexal Diseases - physiopathology
Adnexal Diseases - therapy
Adnexal torsion
Adolescent
Adult
Aged
Biological and medical sciences
Female
Humans
Laparoscopy
Leukocytosis
Medical sciences
Middle Aged
Ovarian Cysts - complications
Ovarian function
Ovarian torsion
Ovary - physiopathology
Pain
Postoperative Complications
Pregnancy
Pregnancy Complications
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Torsion Abnormality
Ultrasonography
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Summary:Objectives: To evaluate the clinical findings, evolution of treatment and ovarian function following conservative therapy. Study design: A case series of 45 patients presenting with adnexal torsion between January 1989 and June 1999. All patients were surgically treated, either conservatively or radically. Patients who had received conservative treatment, interviewed by phone and underwent ovarian sonographic examination. Results: Adnexal torsion is more frequent in young women with adnexal pathology. Conservative therapy by laparoscopy has gained increasing preference as a surgical procedure. It is safe and preserves ovarian function. Conclusions: Conservative therapy by laparoscopy is recommended to preserve ovarian function in young women.
ISSN:0301-2115
1872-7654
DOI:10.1016/S0301-2115(00)00555-8