title: A retrospective review of the adnexal outcome after detorsion in premenarchal girls.
abstract: BACKGROUND
  The aim of this study was to report our results on premenarchal girls with adnexal torsion who were treated with different approaches.
  
  
  METHODS
  Twenty-six adnexal torsions in children were analysed retrospectively. Group 1 included cases of oophorectomy for the twisted adnexa. Group 2 contained the patients with adnexal torsion who untwisted either with a laparoscopic or open approach. Postoperative restoration of ovarian function was evaluated by Doppler ultrasound at the 6 th month. All oophorectomy and biopsy specimens were also evaluated.
  
  
  RESULTS
  Group 1 consisted of eleven cases that underwent oophorectomy due to gangrenous change and haemorrhagic infarction. Histology was of a mature teratoma in two cases and haemorrhagic necrosis due to torsion in seven. Group 2 consisted of 15 patients. In 10 out of 15 patients, preoperative biopsy is performed in which their histology revealed haemorrhagic necrosis in eight cases, and simple cyst with a benign nature in two cases. In all of the 10 untwisted adnexas, postoperative radiological imaging showed complete recovery with normal follicular development. No malignancy or increased tumour markers were noted in both groups.
  
  
  CONCLUSIONS
  Adnexas can be left in place regardless of the preoperative degree of necrosis. Biopsy can be added to the procedure to rule out malignancy.
authors.forename: Abdullah
authors.initials: A
authors.lastname: Yildiz
authors.affiliation: Department of Pediatric Surgery, Sisli Etfal Training and Research Hospital, Istanbul, Turkey.
authors.forename: Başak
authors.initials: B
authors.lastname: Erginel
authors.forename: Melih
authors.initials: M
authors.lastname: Akin
authors.forename: Cetin Ali
authors.initials: CA
authors.lastname: Karadağ
authors.forename: Nihat
authors.initials: N
authors.lastname: Sever
authors.forename: Canan
authors.initials: C
authors.lastname: Tanik
authors.forename: Arzu
authors.initials: A
authors.lastname: Canmemiş
authors.forename: Ali Ihsan
authors.initials: AI
authors.lastname: Dokucu
mesh_terms: D000291:Adnexal Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D000293:Adolescent; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D010052:Ovariectomy; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome; D014463:Ultrasonography