Clinical experience in pregnancies complicated by adnexal torsion

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dc.contributor.authorBasaranoglu, S.
dc.contributor.authorAgacayak, E.
dc.contributor.authorTunc, S. Y.
dc.contributor.authorIcen, M. S.
dc.contributor.authorTurgut, A.
dc.contributor.authorPeker, N.
dc.contributor.authorEvsen, M. S.
dc.date.accessioned2024-04-24T17:15:12Z
dc.date.available2024-04-24T17:15:12Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: The purpose of this study was to present data on clinical and operational management and postoperative outcomes of pregnancies complicated by adnexal torsion (AT). Materials and Methods: Twenty-four pregnant women who presented to the present clinic between January 2007 to December 2013 and were intraoperatively diagnosed with AT were included in this study. Demographic data such as age and data on obstetric history, gestational week, current trimester, previous gynecologic and non-gynecologic operations, type of surgery that was performed, average size, location and number of adnexal masses, surgical techniques that were employed, postoperative complications, and pathology results were investigated and noted. Results: In this study, 132 patients were operated due to AT, and the rate of pregnant women with AT was 18.2% (24/132). The mean age of the patients was 29.25 +/- 6.27 years, and the mean gestational week was 18.25 +/- 7. Eight patients were in their first trimester (33.3%) whereas 13 were in their second trimester (54.2%), and three were in their third trimester (12.5%) when they presented to the hospital. The mean AT size was 95.3 +/- 53.9 mm, as measured by ultrasonography. All the patients were operated by laparotomy. Regarding the types of abdominal incision, 13 patients (54.2%) had a Pfannenstiel incision, three patients (12.5%) had an infra-umbilical median incision, and eight patients (33.3%) had a pararectal incision. Duration of operation was significantly shorter in patients with pararectal incisions (p < 0.01) compared to those with Pfannenstiel and infra-umbilical median incisions. Regarding the types of treatment, ten patients (41.7%) underwent unilateral salpingo-oophorectomy (USO), eight patients (33.3%) underwent adnexal detorsion+cystectomy, and six patients (25%) underwent adnexal detorsion only. Conclusion: AT is a gynecologic emergency that requires early diagnosis and treatment, as it is capable of complicating the pregnancy. Determination of the current gestational week prior to the surgical intervention will assist and guide the surgeon in identifying the suitable type of surgery for a particular patient. Pararectal incision should be the incision of choice for a shorter duration of operation, which is crucial in pregnant women for reduced exposure to anesthesia.en_US
dc.identifier.doi10.12891/ceog2101.2016
dc.identifier.endpage349en_US
dc.identifier.issn0390-6663
dc.identifier.issue3en_US
dc.identifier.pmid27328488
dc.identifier.scopus2-s2.0-84975089425
dc.identifier.scopusqualityQ4
dc.identifier.startpage345en_US
dc.identifier.urihttps://doi.org/10.12891/ceog2101.2016
dc.identifier.urihttps://hdl.handle.net/11468/18370
dc.identifier.volume43en_US
dc.identifier.wosWOS:000376471700007
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisher7847050 Canada Incen_US
dc.relation.ispartofClinical and Experimental Obstetrics & Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAdnexal Torsionen_US
dc.subjectDetorsionen_US
dc.subjectPregnancyen_US
dc.subjectSurgical Techniqueen_US
dc.titleClinical experience in pregnancies complicated by adnexal torsionen_US
dc.titleClinical experience in pregnancies complicated by adnexal torsion
dc.typeArticleen_US

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