Adnexal torsion after laparoscopic hysterectomy: description of seven cases.
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.
Mashiach
Roy
R
Department of Obstetrics and Gynecology, Lis Medical Center, and the Sackler Faculty of Medicine, Tel- Aviv University, Tel- Aviv, Israel.
Canis
Michel
M
Jardon
Kris
K
Mage
Gerard
G
Pouly
Jean-Luc
JL
Wattiez
Arnaud
A
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