title: Adnexal torsion after laparoscopic hysterectomy: description of seven cases.
abstract: OBJECTIVE
  To discover the prevalence of adnexal torsion after laparoscopic hysterectomy.
  
  
  METHODS
  Retrospective analysis (Canadian Task Force classification II-3).
  
  
  METHODS
  A tertiary referral hospital.
  
  
  METHODS
  One thousand thirty-three women underwent laparoscopic hysterectomies between the years 1995 and 2002. The mean age (+/- SD) of the women at the time of hysterectomy was 43.87 +/- 4.28 years. Intervention. Laparoscopic hysterectomy in which at least one adnexa was left intact.
  
  
  RESULTS
  The files of all women with adnexal torsion diagnosed by laparoscopy from 1995 to 2003 were retrospectively reviewed. In seven women, adnexal torsion occurred after laparoscopic hysterectomy. Torsion occurred 2.64 (+/- 1.79) years (mean +/- SD) after hysterectomy. Torsion was treated by laparoscopy in all of the women; either oophorectomy or detorsion and ovariopexy was performed. We calculated the prevalence of this complication to be 7.91/1000.
  
  
  CONCLUSIONS
  Adnexal torsion can occur after laparoscopic hysterectomy.
authors.affiliation: Department of Obstetrics and Gynecology, Lis Medical Center, and the Sackler Faculty of Medicine, Tel- Aviv University, Tel- Aviv, Israel.
authors.forename: Roy
authors.initials: R
authors.lastname: Mashiach
authors.forename: Michel
authors.initials: M
authors.lastname: Canis
authors.forename: Kris
authors.initials: K
authors.lastname: Jardon
authors.forename: Gerard
authors.initials: G
authors.lastname: Mage
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Pouly
authors.forename: Arnaud
authors.initials: A
authors.lastname: Wattiez
mesh_terms: D000291:Adnexal Diseases / Q000209:etiology*; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000009:adverse effects*; D010052:Ovariectomy; D014102:Torsion Abnormality / Q000209:etiology