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Med J Bakirkoy. 2011; 7(4): 125-129


The management of adnexal torsion: Ovaries can be saved by early diagnostic laparoscopy and detorsion

Murat Ekin, Levent Yaşar, İsa Aykut Özdemir, Sevda İdil.

Abstract
Objective: To determine the surgical results of laparoscopy and laparatomy in patients with adnexal torsion.
Material and Methods: Twenty-eight patients with diagnosis of adnexal torsion in a period of two years were included in this retrospective analysis. Data regarding age, gravida, parity, size of the adnexal mass, delay between the first symptoms and the surgical procedure, the outcome of the operation and the duration of hospitalization were recorded and compared between the patients who had laparoscopy and those who had laparotomy.
Results: Ten of the patients were managed by laparoscopy while 18 patients had laparotomy. The most frequent presenting symptom was pelvic pain. In 58.1% of the cases pain was located at the right side. The mean age of the patients was 21.1±5.9 years at the laparoscopy group and 28.2±9.1 years at the laparotomy group (p

Key words: Adnexal torsion, laparoscopy, laparatomy



Adneksiyel torsiyon yönetimi: Overler erken diagnostik laparoskopi ve detorsiyon ile korunabilir

Özet
Amaç: Adneksial torsiyon olgularında laparoskopi ve laparatomi olgularının değerlendirilmesi
Gereç ve Yöntem: İki yıl içerisinde adneksiyel torsiyon tanısı ile opere edilen hastalar retrospektif olarak değerlendirildi. Yaş, gravida, parite, adneksial kitlenin boyutu, semptomların başlamasından operasyona kadar geçen süre, uygulanan cerrahi yöntem ve hastanede kalış süreleri laparoskopi ve laparotomi uygulanan olgularda karşılaştırıldı.
Bulgular: Hastalardan on tanesine laparoskopi diğer 18 hastaya laparotomi uygulandı. Pelvik ağrı en sık gözlenen semptomdu. Hastalardan %58.1’inde pelvik ağrı sağda lokalizeydi. Hastaların yaş ortalaması laparoskopi grubunda 21.1±5.9 laparatomi grubunda 28.2±9.1 yıl olarak tespit edildi (p

Anahtar Kelimeler: Adneksiyel torsion, laparoskopi, laparatomi



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