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Related Experiment Videos

Adnexal torsion.

Gabriel Oelsner1, David Shashar

  • 1Ma'aynei-Hayeshua Hospital, Bnei Brak, Israel. goelsner@013.net.il

Clinical Obstetrics and Gynecology
|August 4, 2006
PubMed
Summary

Adnexal torsion (AT) requires urgent surgery, typically laparoscopy. Preserving ovarian function is crucial, making detorsion the preferred surgical approach over adnexectomy to maintain fertility.

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Area of Science:

  • Gynecology
  • Surgical Pathology
  • Emergency Medicine

Background:

  • Adnexal torsion (AT) is a gynecologic emergency.
  • It predominantly affects women of reproductive age but can occur in premenarchal and postmenopausal individuals.
  • Lower abdominal pain is a key presenting symptom.

Purpose of the Study:

  • To review the clinical, surgical, and pathologic findings of adnexal torsion.
  • To emphasize the importance of timely diagnosis and appropriate surgical management.
  • To highlight fertility-sparing surgical techniques.

Main Methods:

  • Literature review of clinical, surgical, and pathologic findings in adnexal torsion.
  • Analysis of diagnostic criteria and management strategies.
  • Evaluation of surgical outcomes, focusing on ovarian function preservation.

Main Results:

  • Adnexal torsion occurs in 3.5% of benign cystic teratomas.
  • Laparoscopy is the standard surgical approach for suspected AT.
  • Ovarian function is preserved in 88% to 100% of cases following detorsion.

Conclusions:

  • Urgent surgical intervention for suspected adnexal torsion is indicated.
  • Detorsion is the recommended surgical procedure to preserve ovarian function.
  • Adnexectomy should be avoided whenever possible to maintain fertility.

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