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Conservative laparoscopic approach to adnexal torsion

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Abstract

Objective

To evaluate the conservative laparoscopic approach to adnexal torsion during reproductive age.

Methods

We present 18 patients with adnexal torsion between January 1997 and December 2005. Patients treated conservatively were controlled by ultrasonography during the postoperative period.

Results

Of 18 patients with adnexal torsion, 12 patients were treated by conservative laparoscopic surgery after detorsion, one patient with only tubal torsion had undergone laparoscopic salpengectomy. Laparoscopy was converted to laparotomy after laparoscopic detorsion in five cases. Of five patients in this group, four patients was performed cystectomy, one patient salpingo-oopherectomy. Conservative treatment was carried out in 16 of 18 cases with adnexal torsions.

Conclusion

Conservative management is a safe way to preserve the ovarian function during the reproductive period.

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Authors and Affiliations

  1. Departments of Obsterics and Gynecology, Ümraniye Education and Research Hospital, Istanbul, Turkey

    Ahmet Göçmen

  2. Department of Obstetrics and Gynecology, Kafkas University Medical Faculty, Kars, Turkey

    Mehmet Karaca

  3. Siirt State Hospital, Siirt, Turkey

    Abdullah Sari

Authors
  1. Ahmet Göçmen
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  2. Mehmet Karaca
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  3. Abdullah Sari
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Corresponding author

Correspondence to Ahmet Göçmen.

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Göçmen, A., Karaca, M. & Sari, A. Conservative laparoscopic approach to adnexal torsion. Arch Gynecol Obstet 277, 535–538 (2008). https://doi.org/10.1007/s00404-007-0501-7

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  • DOI: https://doi.org/10.1007/s00404-007-0501-7

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