Conservative laparoscopic approach to adnexal torsion

Abstract

To evaluate the conservative laparoscopic approach to adnexal torsion during reproductive age. We present 18 patients with adnexal torsion between January 1997 and December 2005. Patients treated conservatively were controlled by ultrasonography during the postoperative period. 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. Conservative management is a safe way to preserve the ovarian function during the reproductive period.