Histological findings of patients with adnexal torsion who underwent surgical treatment : short reminder
Nissi, Ritva; Santala, Markku; Talvensaari-Mattila, Anne (2020-08-26)
Nissi, R., Santala, M. & Talvensaari-Mattila, A. Histological findings of patients with adnexal torsion who underwent surgical treatment: short reminder. Gynecol Surg 17, 12 (2020). https://doi.org/10.1186/s10397-020-01081-4
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https://urn.fi/URN:NBN:fi-fe2020120198836
Tiivistelmä
Abstract
Background: Ovarian torsion is a rare emergency condition in women. Early diagnosis is necessary to preserve fertility.
Case: Our study evaluated 40 patients, who underwent laparoscopic surgery. The aims of this retrospective study were to emphasize the importance of early diagnosis in ovarian torsion, evaluate the process of patient treatment, and investigate the number of patients treated by minimally invasive surgery. In this article, we present the outcomes from the patient data.
Results: Thirty-two percent (13/40) of patients were first evaluated by the surgeon to investigate right-sided lower abdominal pain. These patients were first misdiagnosed with appendicitis or urinary tract stones. Among these patients, necrotic ovary tissue was more common, most likely due to a longer delay seeking medical attention. A total of 77% (31/40) of patients underwent laparoscopic surgery on the same date that they were admitted to the hospital. No severe complications occurred in this group of patients. All histological findings were benign. In 52% (21/40) of patients, the adnexa was removed, whereas in 37% (15/40) of patients the torsed adnexa was treated by detorsion. A total of 27% (11/40) of patients had no diagnosis before undergoing surgery.
Conclusions: Rapid and accurate diagnosis is essential to preserve ovarian function.
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