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Updated: Jun 15, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Adnexal torsion: a literature review
Cyrille Huchon1, Arnaud Fauconnier
1Department of Gynecology, Obstetrics, and Reproductive Medicine, Centre Hospitalier Intercommunal de Poissy-Saint Germain en Laye, Poissy, France. cyrillehuchon@yahoo.fr
Abstract:
This review of the literature focuses on the diagnosis and surgical management of adnexal torsion. Diagnosis of adnexal torsion is difficult and is based on a range of elements obtained by questioning, clinical examination and additional investigations. Pelvic and Doppler ultrasonography are often incapable of revealing this pathology. When adnexal torsion is suspected and diagnosis can only be achieved by surgery, arrangements should be made for laparoscopy as soon as possible. Treatment consists essentially of untwisting the adnexa, even when necrosed, and completed as required by treatment of any cyst present and/or ligamentopexy.
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