• Users Online: 130
  • Print this page
  • Email this page
Year : 2019  |  Volume : 2  |  Issue : 4  |  Page : 273-280

Recent conservative management trends in dealing with uterine adnexal torsion will preserve fertility in childbearing women: a review of literature and case series

Department of Obstetrics and Gynaecology, Al-Galaa Maternity Teaching Hospital, Cairo, Egypt

Correspondence Address:
Hossam H Soliman
Aysha Al Taymoria Street, Garden City, Cairo 11541
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/JMISR.JMISR_60_19

Rights and Permissions

Introduction Uterine adnexal torsion is a rare gynecologic emergency, representing 2.5–7% of all the acute gynecologic surgical conditions. It could lead to adnexal ischemia and necrosis, putting a woman at the risk of a radical surgery, which leads her to lose a uterine adnexa, plummeting her future fertility, and possibility inducing a negative effect of her future marital and family life. Adnexal detorsion associated with cystectomy is a simple maneuver that could spare the woman of losing her ovary; this technique could successfully work even with an apparently necrosed ovary. Aim A review of literature, in addition to a retrospective observational study was done, the aim of this study was to assess the potential of saving a torsed, devitalized adnexa, through the less radical detorsion technique and simple cystectomy. Results Several studies have favored ovarian detorsion, cystectomy, and ovariopexy, as combined techniques, if done altogether could spare an ovary being removed for being necrosed. The present retrospective study of 12 cases with ovarian torsion revealed complying findings, where two of five patients with suspected adnexal necrosis were treated conservatively by combined detorsion and cystectomy, with the ovaries resuming normal activity soon within a few weeks. Conclusion Many apparently necrosed ovaries could be spared unnecessary excision, through implying a more conservative techniques, such as ovarian detorsion and cystectomy, with no marked detrimental consequences.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded23    
    Comments [Add]    

Recommend this journal