Adnexal torsion: a report on forty-five cases

Objectives: To evaluate the clinical findings, evolution of treatment and o varian function following conservative therapy. Study design: A case series of 45 patients presenting with adnexal torsion between January 1989 and Ju ne 1999. All patients were surgically treated, either conservatively or rad ically. Patients who had received conservative treatments interviewed by ph one and underwent ovarian sonographic examination. Results: Adnexal torsion is more frequent in young women with adnexal pathology. Conservative thera py by laparoscopy has gained increasing preference as a surgical procedure. It is safe and preserves ovarian function. Conclusions: Conservative thera py by laparoscopy is recommended to preserve ovarian function in young wome n. (C) 2001 Elsevier Science Ireland Ltd. All rights reserved.