Seven girls with adnexal torsion (of varying degrees) were treated lap
aroscopically during a 6 month period. All had associated adnexal path
ology. Six had simple follicular cysts (>4 cm in diameter), and one ha
d a 10-cm dermoid cyst. Detorsion with resection of the cyst and prese
rvation of ovarian tissue was performed in all cases. No intraoperativ
e or postoperative complications were encountered. Video-assisted mini
mally invasive surgery is suitable for the treatment of adnexal pathol
ogy in children; the hospitalization period is short, the cosmetic res
ults are excellent, and the return to normal activity is rapid. Copyri
ght (C) 1996 by W.B. Saunders Company