Adnexal torsion: a literature review

Huchon, Cyrille; Fauconnier, Arnaud

doi:10.1016/j.ejogrb.2010.02.006

Cited by 243 publications

(263 citation statements)

References 55 publications

Supporting

Mentioning

233

Contrasting

Unclassified

Order By: Relevance

“…Torsion of the right ovary was more common than the left, probably due to presence of sigmoid on left and longer right ligament of ovary [19]. In our study the adnexal torsion of the right side was about 55.7% when compared to the left side [Table/ Fig-3].…”

Section: Discussionmentioning

confidence: 58%

Five Year Retrospective Case Series of Adnexal Torsion

Nair

Joy

Nayar

2014

JCDR

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 58%

Five Year Retrospective Case Series of Adnexal Torsion

Nair

Joy

Nayar

2014

JCDR

View full text Add to dashboard Cite

“…Nadir olarak fizyolojik boyutlara sahip overlerde torsiyon görülebilir. Polikistik over, gebelik, ovülasyon indüksiyonu, geçirilmiş over torsiyonu öyküsü, uzun ve/ veya artmış mobilite olan adneksiyal mezo, adneksiyal venöz konjesyona yol açan patolojiler, tubal sterilizasyon ve tubal hastalıklar diğer predispozan faktörlerdir (16,17). Endometriomalarda ve malign over tümörlerinde çevre organlara yapışıklık sık olduğundan over torsiyonu daha nadirdir.…”

Section: Discussionunclassified

Ovarian Torsion and Surgical Treatment: Five-year’s experience of a tertiary center

Günay

Yardımcı

Hocaoğlu

et al. 2018

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

View full text Add to dashboard Cite

Amaç: Çalışmamızda son 5 yılda hastanemizde over torsiyonu tanısı ile opere ettiğimiz hastaların klinik ve laboratuvar bulguları ile uygulanan cerrahi tedavi yöntemlerinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler:Elektronik ortamda arşiv taraması yapılarak Ocak 2013 ile Ocak 2018 tarihleri arasında hastanemizin acil servis servisine başvuran ve over torsiyonu tanısı ile opere edilen hastaların demografik özelliklerinin yanı sıra klinik ve laboratuvar bulguları ile uygulanan cerrahi tedavi yaklaşımları kaydedildi ve bulguların analizi yapıldı. Bulgular:Kayıtlarına ulaşılan toplam 32 hastanın yaş ortalaması 27.2±10.5 olarak bulundu ve 9 (% 28.1) hasta virgo idi. Acil servise başvuran bütün hastalarda abdominal ve/veya pelvik ağrı mevcut olup, 15 (% 46.8) hastada bulantı, 7 (% 21.8) hastada kusma ve 2 (% 6.2) hastada ateş görüldü. Over torsiyonu saptanan 2 hastada gebelik mevcuttu. Olguların 19 (% 59.3)'unda torsiyon sağ tarafta iken 13 (% 40.7) olguda sol taraftaydı. Torsiyone olan kitlenin boyutu ortalama 92.5±46.3 mm olup olguların 15 (% 46.8)'inde ultrasonografik incelemede ovaryen akım saptanmadı. Hastaların 23 (% 71.9)'ünde laparoskopik yaklaşım uygulanırken 9 (% 28.1) hastada laparatomi tercih edildi. Sonuç:Over torsiyonu jinekolojik acil bir durum olup hastanın fizik muayene bulguları başta olmak üzere laboratuvar ve görüntüleme sonuçları ile değerlendirilerek erken müdahalesi torsiyone olmuş organların korunabilmesi ve fonksiyonlarını devam ettirebilmesi için kritik önemdedir. Cerrahi yaklaşımda da laparoskopi ön planda tercih edilmeli ve organ koruyucu yaklaşımlar tedavide ilk seçenek olmalıdır. Anahtar Kelimeler: Over torsiyonu, laparoskopik cerrahi, ultrasonAbstract Objective: In current study, we aimed to evaluate the clinical and laboratory findings and surgical methods in patients treated with a surgical approach for ovarian torsion in a period of five years in our institute. Materials and Methods:The demographic characteristics, clinical and laboratory findings of patients who admitted to emergeny unit of our hospital and underwent a surgery for a diagnosis of ovarian torsion in between January 2013 and January 2018 and surgical methods used were collected via digital patient database. The relevant data was assessed. Results:The mean age of the patient 32 patients who had eligible medical records was 27.2±10.5. Nine (28.1%) of 32 patients was virgo. All the patients had abdominal or pelvic pain. 15 (46.7%) patients had nausea, 7 (6.2%) had vomitting and 2 (6.2%) had fever. Two of patients were pregnant during diagnosis. 19 (59.35%) patients had righ-sided ovarian torsion and 13 (40.7%) had left-sided. The mean average diameter of the torsioned ovary was 92.5±46.3 mm. Ovarian blood flow was compromised in 15 (46.8%) patients in color doppler sonographic evaluation. Laparoscopic surgery was preferred for 23 (71.9%) patients and laparotomy for 9. Conclusion:The early intervention of a torsioned ovary, a gynecologic emergency, has a critical role to secure the affected organ and to preserve its fun...

show abstract

“…The reasons for more common occurrence on right side are longer utero-ovarian ligament on right side and limited space on left side due to presence of the sigmoid colon. 24 In 2015, Yaakov Melcer et al 25 found in their study that out of 199 patients, maximum number of women were found to have right sided torsion (62.5%) while only 36.5% of cases had pathology on left side and remaining 1% were found to have bilateral involvement.…”

Section: Ovarian Torsionmentioning

confidence: 99%

“…But now, conservative treatment that consists of untwisting the adnexa followed by cystectomy or cyst aspiration is the management of choice. 24 In 2004, Aziz D et al 33 conducted a retrospective study to compare outcomes of conservative surgery and oopherectomy in management of ovarian torsion. 36 cases of ovarian torsion were reviewed, out of which seventeen underwent detorsion with or without ovarian cystectomy, and 19 had oophorectomy.…”

Section: Ovarian Torsionmentioning

confidence: 99%