Laparoscopic Management of Adnexal Torsions: Baskent University Experience

  • Mesut Öktem
  • Derya Eroglu
  • Esra Kusçu
  • Hulusi Bülent Zeyneloglu

Turk J Obstet Gynecol 2005;2(2):121-124

OBJECTIVE: To analyze the patients’ data who underwent surgery for adnexal torsion via laparoscopy or laparotomy Design: Reports of the 10 adnexal torsion cases those were managed by laparoscopy (5 cases) or laparotomy (5 cases). Setting: Department of Obstetrics and Gynecology, School of Medicine, Baskent University, Ankara Patients: Ten patients were referred to the emergency room and diagnosed as adnexal torsion preoperatively. All patients were surgically treated. Interventions: Adnexal detorsion, cyst aspiration, cystectomy, oophorectomy, abdominal hysterectomy and salpingo-oophorectomy were done either by laparoscopy or laparotomy. Main Outcome Measures: Patient’s age, mean diameter of adnexal mass, preoperative Doppler flow measurement, type of surgical approach, hospitalization interval, and histopathologic diagnosis. RESULTS: Two patients had salpingo-oophorectomy, one patient had detorsion, one patient had detorsion and cyst aspiration, and another one had detorsion and cystectomy via laparoscopy. On the other hand, three patients had total abdominal hysterectomy and salpingo-oophorectomy, one patient had salpingo-oophorectomy, and another one had detorsion and cystectomy via laparotomy. In laparoscopy group, younger patients with lower parity were seen. The hospitalization interval was shorter in laparoscopy group. Mean adnexal diameter was greater in laparotomy group. Postoperative ultrasonographic findings and Doppler flow measurement were normal in patients whom underwent conservative surgery. CONCLUSION: Conservative therapy by laparoscopy is recommended to preserve ovarian function in young patients.

Keywords: adnexal torsion, conservative therapy, detorsion, laparoscopy