Author:

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

Keywords: twisted adnexa,  detortion,  laparoscopy,  ultrasound colour Doppler.