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    INTRAOPERATIVE FINDINGS OF ADNEXAL TORSION
    (Carbone Editore, 2014) Siddik, Evsen Mehmet; Abdulkadir, Turgut; Serdar, Basaranoglu; Elif, Agacayak; Yaman, Tunc Senem; Sait, Icen Mehmet; Ali, Ozler
    Objective: Adnexal torsion (AT) is a gynecologic emergency. Early intervention is important because it may give opportunity for preserving adnexa for future fertility and the function of the ovary. The aim of the study is to present intraoperative findings of the adnexal torsion. Methods: Demographic data, clinical characteristics and presence of pregnancy were noted. In patients with an intraoperatively detected AT, side (right or left adnexa), direction (clockwise or counterclockwise), number of torsions and the size of torsioned adnexa were evaluated. Results: Seventy two patients in the reproductive age with an intraoperatively detected AT were evaluated in the study. In 64 (89%) patients, the adnexa were preserved. In 50 (69.4%) patients, an AT was detected at the right adnexa but there was no statistically significant difference between two sides (p=0.543). Directions of the torsion were found to be higher in both adnexa as clockwise but the difference was not found to be statistically significant. The number of torsions were found to be higher (especially more than >= 5 times) in patients who had undergone unilateral salphingoophorectomy when compared with detorsioned cases. A linear correlation was observed between increases in the number of adnexal torsions and dimensions of the adnexal mass (r:0.454). Conclusion: Increased size of an adnexal torsion enhances the probability of adnexal necrosis and indication of salpingoophorectomy. With the priority of intraoperative exploration and inspection, the fact that clockwise rotation is a more often seen abnormality in AT, can be an important consideration in the prevention of further adnexal damage during detorsioning maneuvers.