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Adnexal torsion: experience at a single university center
Tony Ogburn1, James Wurzel, Eve Espey
1Departments of Obstetrics and Gynecology, University of New Mexico, Albuquerque 87131-0001, USA. jogburn@salud.unm.edu
Objective:
To review the management of adnexal torsion over an 11-year period at a single institution and to assess trends in the surgical approach, including laparoscopy vs. laparotomy, and ovarian conservation vs. removal.
Study Design:
A chart review of all patients treated for adnexal torsion at the University of New Mexico from 1990 to 2001 was performed.
Results:
Sixty-eight cases of adnexal torsion were identified. Laparoscopic management was accomplished in 22 cases (32%) and ovarian conservation in 14 cases (20.6%). There were no differences in the use of laparoscopy (OR 2.24, CI 0.65-7.93), or ovarian conservation (OR 1.24, CI 0.31-5.35) in patients treated before 1996 vs. later in the study period.
Conclusion:
Despite evidence supporting conservative management of adnexal torsion with laparoscopy and ovarian conservation, most cases at our institution are managed with open laparotomy and removal of the affected adnexa.
