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Titolo:
Laparoscopic detorsion allows sparing of the twisted ischemic adnexa
Autore:
Cohen, SB; Oelsner, G; Seidman, DS; Admon, D; Mashiach, S; Goldenberg, M;
Indirizzi:
Chaim Sheba Med Ctr, Dept Obstet & Gynecol, IL-52651 Tel Hashomer, Israel Chaim Sheba Med Ctr Tel Hashomer Israel IL-52651 51 Tel Hashomer, Israel
Titolo Testata:
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
fascicolo: 2, volume: 6, anno: 1999,
pagine: 139 - 143
SICI:
1074-3804(199905)6:2<139:LDASOT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
COLOR DOPPLER FLOW; OVARIAN TORSION; PREGNANCY; DIAGNOSIS; THERAPY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Goldenberg, M Chaim Sheba Med Ctr, Dept Obstet & Gynecol, IL-52651 Tel Hashomer, Israel Chaim Sheba Med Ctr Tel Hashomer Israel IL-52651 r, Israel
Citazione:
S.B. Cohen et al., "Laparoscopic detorsion allows sparing of the twisted ischemic adnexa", J AM AS G L, 6(2), 1999, pp. 139-143

Abstract

Study Objective. To determine the safety and outcome of laparoscopic detorsion in the management of the twisted ischemic, hemorrhagic adnexa. Design. Retrospective chart review and prospective follow-up (Canadian Task Force classification II-2). Setting. University-affiliated hospital. Patients. Fifty-eight women with twisted black-bluish ischemic adnexa encountered at laparoscopy. Intervention, Laparoscopic detorsion with adnexal sparing. Measurements and Main Results, All patients had a benign immediate postoperative course. Transient temperature elevation occurred in seven women (12.1%). No signs of pelvic or systemic thromboembolism were detected in any patient. Long-term follow-up included transvaginal ultrasound, which revealedfollicular development in the previously twisted adnexa in 54 women; normal macroscopic appearance at incidental subsequent surgery in 9; and in vitro fertilization with retrieval of oocytes from the previously twisted side in 4. Conclusion. Laparoscopic detorsion of the twisted ischemic, hemorrhagic adnexa is a safe procedure with minimal postoperative morbidity and a potential for the ovary to recuperate fully with preservation of normal function. Laparoscopic adnexa-sparing procedures should be performed in place of traditional salpingo-oophorectomy in women with this disorder who desire futurefertility.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 04:42:15