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Adnexal torsion.

Y Yamashita1, M Sowter, M Ueki

  • 1Department of Obstetrics and Gynaecology, Osaka Medical College, Takatsuki, Japan.

The Australian & New Zealand Journal of Obstetrics & Gynaecology
|February 7, 2001
PubMed
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Adnexal torsion management in women desiring fertility often resulted in ovary removal, despite suspicion. Urgent surgery and ovary conservation are recommended for better fertility outcomes.

Area of Science:

  • Gynecology
  • Surgical Obstetrics

Background:

  • Adnexal torsion is a gynecological emergency.
  • Ovarian conservation in torsion cases is increasingly reported for women desiring fertility.

Purpose of the Study:

  • To audit adnexal torsion management at a tertiary hospital.
  • To evaluate surgical outcomes and fertility preservation.

Main Methods:

  • Retrospective audit of 24 adnexal torsion cases (1996-1997).
  • Analysis of management strategies, including surgical approach and outcomes.

Main Results:

  • 50% of patients underwent oophorectomy/salpingo-oophorectomy, many desiring fertility.
  • Delay between admission and surgery averaged 8 hours.

Related Experiment Videos

  • 46% of cases were managed laparoscopically.

    • Conclusions:

    • Urgent surgical intervention is crucial for suspected adnexal torsion.
    • Greater consideration for ovarian conservation is needed for fertility preservation.
    • Laparoscopic management of adnexal torsion is expected to increase with expertise.