caa a22 4500 44530989X CHVBK 20180317142626.0 cr unu---uuuuu 170323e20110901xx s 000 0 eng 10.1007/s00404-010-1702-z doi (NATIONALLICENCE)springer-10.1007/s00404-010-1702-z Management and outcomes of adnexal torsion: a 5-year experience [Elektronische Daten] [Osman Balci, Mehmet Icen, Alaa Mahmoud, Metin Capar, Mehemet Colakoglu] Purpose: To discuss the surgical results of patients with diagnosis of adnexal torsion. Methods: One hundred and fifty patients with diagnosis of adnexal torsion who presented to our clinic between January 2005 and December 2009 were included in this retrospective analysis. Data regarding age, gravidity, parity, size of mass, operation time, and duration of hospitalization were recorded and compared between the patients who had laparoscopy to those who had laparotomy. The pathological results of patients were also recorded. Results: Fifty-eight patients were treated laparoscopically while 92 patients had laparotomy. The most frequent presenting symptom was pelvic pain (96%). Laparoscopy group consisted of young patients with low parity; operation and hospital stay time was shorter in laparoscopy group. Velocity loss in Doppler ultrasonography was noted in 81.3% of the patients. Of the laparotomy group 35 postmenopausal patients had hysterectomy and bilateral salpingo-oopherectomy, and staging surgery was done for 16 of them. The pathological finding was found to be malignant in four and borderline serous tumor in four patients. Conclusion: Laparoscopy is preferred for young patients who want to preserve their fertility. Because of high risk of malignancy in postmenopausal ovarian masses presenting with torsion; frozen section should be used. If not possible or not conclusive, staging surgery is more appropriate especially if there is suspicion of malignancy. Springer-Verlag, 2010 Adnexal torsion nationallicence Detorsion nationallicence Laparoscopy nationallicence Laparotomy nationallicence Balci Osman Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut Icen Mehmet Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut Mahmoud Alaa Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut Capar Metin Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut Colakoglu Mehemet Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 643-646 0932-0067 284:3<643 2011 284 404 https://doi.org/10.1007/s00404-010-1702-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1702-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Balci Osman Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut NATIONALLICENCE 700 1- Icen Mehmet Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut NATIONALLICENCE 700 1- Mahmoud Alaa Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut NATIONALLICENCE 700 1- Capar Metin Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut NATIONALLICENCE 700 1- Colakoglu Mehemet Department of Obstetrics and Gynecology, Meram Medicine Faculty, Selcuk University, Meram, 42080, Konya, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/3(2011-09-01), 643-646 0932-0067 284:3<643 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer