INTRAOPERATIVE FINDINGS OF ADNEXAL TORSION

dc.contributor.authorSiddik, Evsen Mehmet
dc.contributor.authorAbdulkadir, Turgut
dc.contributor.authorSerdar, Basaranoglu
dc.contributor.authorElif, Agacayak
dc.contributor.authorYaman, Tunc Senem
dc.contributor.authorSait, Icen Mehmet
dc.contributor.authorAli, Ozler
dc.date.accessioned2024-04-24T17:40:34Z
dc.date.available2024-04-24T17:40:34Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: 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.en_US
dc.identifier.endpage809en_US
dc.identifier.issn0393-6384
dc.identifier.issue4en_US
dc.identifier.startpage805en_US
dc.identifier.urihttps://hdl.handle.net/11468/21864
dc.identifier.volume30en_US
dc.identifier.wosWOS:000344634300010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherCarbone Editoreen_US
dc.relation.ispartofActa Medica Mediterranea
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAdnexa Uterien_US
dc.subjectTorsionen_US
dc.subjectIntraoperative Proceduresen_US
dc.subjectSurgeryen_US
dc.titleINTRAOPERATIVE FINDINGS OF ADNEXAL TORSIONen_US
dc.titleINTRAOPERATIVE FINDINGS OF ADNEXAL TORSION
dc.typeArticleen_US

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