Adnexal torsion: experience at a single university center.
OBJECTIVE
To review the management of adnexal torsion over an 11-year period at a single institution and to assess trends in the surgical approach, including laparoscopy vs. laparotomy, and ovarian conservation vs. removal.


METHODS
A chart review of all patients treated for adnexal torsion at the University of New Mexico from 1990 to 2001 was performed.


RESULTS
Sixty-eight cases of adnexal torsion were identified. Laparoscopic management was accomplished in 22 cases (32%) and ovarian conservation in 14 cases (20.6%). There were no differences in the use of laparoscopy (OR 2.24, CI 0.65-7.93), or ovarian conservation (OR 1.24, CI 0.31-5.35) in patients treated before 1996 vs. later in the study period.


CONCLUSIONS
Despite evidence supporting conservative management of adnexal torsion with laparoscopy and ovarian conservation, most cases at our institution are managed with open laparotomy and removal of the affected adnexa.
Ogburn
Tony
T
Departments of Obstetrics and Gynecology, University of New Mexico, Albuquerque 87131-0001, USA. jogburn@salud.unm.edu
Wurzel
James
J
Espey
Eve
E
Espey
David
D
D000291:Adnexal Diseases / Q000473:pathology / Q000601:surgery* / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000473:pathology / Q000601:surgery / Q000628:therapy; D016896:Treatment Outcome