Mini Review
Volume 9 Issue 2 - 2020
Proposed Dr Sachin”s Criteria for an Adnexal Torsion Management
Sachin Vijay Naiknaware*
Consultant Gynaecology Endoscopic Surgeon, Breach Candy Hospital, Mumbai, India
*Corresponding Author: Sachin Vijay Naiknaware, Consultant Gynaecology Endoscopic Surgeon, Breach Candy Hospital, Mumbai, India.
Received: December 09, 2019; Published: January 07, 2020




Abstract

Adnexal torsion is 5th most common gynaecological emergency occurring in about 2 - 15% of reproductive age group women, wherein both ovary and fallopian tube twist along the vascular pedicle which causes obstruction to venous outflow and arterial inflow. Clinical presentation of adnexal torsion is highly variable and physical examination is often inconclusive. early diagnosis increases the chances of saving the ovary and preventing life threatening complications such as thrombophlebitis and peritonitis, associated causes of torsion includes ovarian cyst may it be a follicular cyst or benign dermoid or corpus luteum cyst. Other causes include PCOD, abnormally long utero-ovarian ligament and 10 - 20% cases it is seen in pregnant women.

Various treatment protocols are followed worldwide for the management such as adnexal detorsion alone, detorsion plus ovarian cystectomy in the same sitting or at the interval of 2-3 weeks, Salpingo-oophorectomy, Oophoro-pexy and utero-ovarian ligament plication. But no universally accepted criteria is there recurrence rate. so we are unable to follow these patients objectively for response to treatment, best treatment option and recurrence rate so this criteria will serve the purpose of guiding stones in the management of adnexal torsion. More studies are also needed and this criteria needs to be followed by minimal invasive surgeons worldwide to make it a more acceptable comparable.

Keywords: Adnexal Torsion; PCOD; Oophoro-pexy

References

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  3. Gorkemli H., et al. “Adnexal torsion after gonadotrophin ovulation induction for IVF or ICSI and its conservative treatment”. Archives of Gynecology and Obstetrics 267 (2002): 4-6. 
  4. Hour D and Abbott JT. “Ovarian torsion: A fifteen- year review”. Annals of Emergency Medicine 38 (2001): 156-159. 
  5. Argenta PA., et al. “Torsion of the uterine adnexa Pathologic correlation and current management trends”. Journal of Reproductive Medicine 45 (2000): 831-836. 
  6. Valsky DV., et al. “Added value of the gray scale Whirlpool sign in the diagnosis of adnexal torsion”. Ultrasound in Obstetrics and Gynecology 36 (2010): 630-634. 
  7. Johnson TR and Woodruff JD. “Surgical emergencies of the uterine adnexa during pregnancies”. International Journal of Gynecology and Obstetrics 24 (1986): 331-335. 
  8. Germain M., et al. “Management of intermittent ovarian torsion by laparoscopic oophoropexy”. Obstetrics and Gynecology 88 (1996): 715-717. 
  9. Mathevet P., et al. “Laparoscopic management of adnexal masses in pregnancy: A case series”. European Journal of Obstetrics and Gynecology and Reproductive Biology 108 (2003): 217-222. 
  10. Harkins G. “Ovarian torsion treated with untwisting: second look 36 hours after untwisting”. Journal of Minimally Invasive Gynecology 14 (2007): 270.
Citation: Sachin Vijay Naiknaware. “Proposed Dr Sachin”s Criteria for an Adnexal Torsion Management”. EC Gynaecology 9.2 (2020): 01-04.

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