Abstract
Objective: Torsion of the uterine adnexa accounts for approximately 2.7% of all gynaecological emergencies [Mancuso et al , 1997] and also a rare but important cause of acute abdominal pain1. The purpose of present study is to determine if detorsion of the twisted ovarian cyst is better than traditional salpingooopherectomy and evaluate the outcome of minimally invasive laproscopic surgery in the management of adnexal masses. Method: A prospective study included all the patients with twisted adnexa from January 2008 to November 2010 at Acharya Vinoba Bhave Rural Hospital, Datta Meghe Institute of Medical Sciences University, Sawangi (Meghe), Wardha, India. Results: A total of 24 patients with twisted adnexa underwent laparoscopic surgery. In the present study successful detortion and conservation of adnexa could be achieved in 19 (82%) patients. There was one conversion to laparotomy. Conclusions: Present study proved that timely diagnosis and intervention could help the ovarian salvage in women of reproductive age group. Prognosis was excellent with early diagnosis and appropriate management. Keywords: twisted adnexa; detortion; laparoscopy; ultrasound colour Doppler. DOI: http://dx.doi.org/10.4038/sljog.v33i2.4007 Sri Lanka Journal of Obstetrics and Gynaecology 2011; 33 : 56-59
Highlights
Adnexal torsion is an infrequent but significant cause of acute lower abdominal pain in women
Imaging diagnosis is mostly performed by two dimensional ultrasonography in gray-scale or associated colour Power Doppler[4]
A prospective study was conducted in the Department of Obstetrics and Gynaecology, Datta Meghe Institute of Medical Sciences University, Sawangi (Meghe), Wardha, India from January 2008 to November 2010
Summary
Adnexal torsion is an infrequent but significant cause of acute lower abdominal pain in women. The clinical presentation is often nonspecific with few distinctive physical findings commonly resulting in delayed diagnosis and surgical management[2]. Imaging diagnosis is mostly performed by two dimensional ultrasonography in gray-scale or associated colour Power Doppler[4]. The standard approach to twisted adnexa was salpingooopherectomy. In 1989, Mage et al proved that detorsion and preservation of adnexa is an alternative mode of treatment[3]. Diagnosis and management can help ovarian salvage in women of reproductive age group. In recent years minimally invasive laparoscopic surgery has changed the therapeutic management of adnexal masses to such an extent that it can be considered the standard therapeutic option
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