Human Reproduction, Vol. 11, No. 5, pp. 998-1003, 1996
© 1996 European Society of Human Reproduction and Embryology
research-article |
Treatment of adnexal torsion using operative laparoscopy
Clinique Universitaire Baudclocque, CHU Cochin Port-Royal, 123 Boulevard Port-Royal 75014 Paris, France
Correspondence: 1To whom correspondence should be addressed
The aim of this work was to clarify the value and application of operative laparoscopic treatment for adnexa] torsion. We included in our study all patients (n = 27) who presented with an intra-operative diagnosis of torsion of the adnexa between January 1989 and May 1995. A total of 28 adnexal torsions were treated. Treatment was carried out by laparoscopic surgery in 75% of cases (21 torsions); in one-half of the cases (14 torsions) it was possible to achieve conservative laparoscopic treatment The nature of the lesions and the experience of the surgeons are two factors which closely govern the outcome of surgical treatment For those patients presenting a benign pathology, laparoscopic surgery was used to treat 84% of cases in the series. All the patients presenting a benign pathology and operated upon since 1993 have received laparoscopic surgical treatment No major complications (peritonitis, thrombotic emboli, coagulation problems) were observed after conservative laparoscopic surgery. These results demonstrate that, provided the surgeons are sufficiently experienced, treatment by conservative laparoscopic surgery for adnexal torsion is both safe and reliable. In the years to come more work must be done to assess the vitality of the adnexa so that as many patients as possible can benefit from conservative treatment.
Key words: adnexal torsion/conservative treatment/operative laparoscopy