Abstract
Objective:
The aim of this research was to present and analyze the epidemiologic characteristics, clinical presentations, and treatment approaches to patients with diagnosed adnexal torsions.
Materials and Methods:
This retrospective analysis included 71 patients, each with a confirmed diagnosis of adnexal torsion, who were treated at the University Hospital Dr. Peset, in Valencia, Spain, between 1997 and 2018.
Results:
The patients' average age was 31.56 years (range: 7–760. In the 71 cases analyzed, 7 (9.9%) were pregnant at the moment of the diagnosis; in 44 (62%), the torsion was located on the right side;and in 46 (64.8%), ovarian masses were found. Only 1 (1.41%) of these cases were malignant. Torsion was treated with laparoscopy in 54 (76.1%) of the 71 patients. Conservative surgery was performed in 38(53.5%) of the cases. Adnexal torsion recurrence occurred in 7 (9.9%) patients.
Conclusions:
Adnexal torsion is considered a gynecologic surgical emergency. Diagnosis is challenging and requires a high index of clinical suspicion. Frequently, the diagnosis is performed through surgery. Early surgical intervention helps conserve ovarian function and avoid other complications. Laparoscopic conservative surgery is the chosen surgical approach. (J GYNECOL SURG 37:357)
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