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Updated: Aug 20, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Adnexal torsion after laparoscopic hysterectomy: description of seven cases
Roy Mashiach1, Michel Canis, Kris Jardon
1Department of Obstetrics and Gynecology, Lis Medical Center, and the Sackler Faculty of Medicine, Tel- Aviv University, Tel- Aviv, Israel.
Study Objective:
To discover the prevalence of adnexal torsion after laparoscopic hysterectomy.
Design:
Retrospective analysis (Canadian Task Force classification II-3).
Setting:
A tertiary referral hospital.
Patients:
One thousand thirty-three women underwent laparoscopic hysterectomies between the years 1995 and 2002. The mean age (+/- SD) of the women at the time of hysterectomy was 43.87 +/- 4.28 years. Intervention. Laparoscopic hysterectomy in which at least one adnexa was left intact.
Measurements And Main Results:
The files of all women with adnexal torsion diagnosed by laparoscopy from 1995 to 2003 were retrospectively reviewed. In seven women, adnexal torsion occurred after laparoscopic hysterectomy. Torsion occurred 2.64 (+/- 1.79) years (mean +/- SD) after hysterectomy. Torsion was treated by laparoscopy in all of the women; either oophorectomy or detorsion and ovariopexy was performed. We calculated the prevalence of this complication to be 7.91/1000.
Conclusion:
Adnexal torsion can occur after laparoscopic hysterectomy.
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