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Journals / Haseki Tıp Bülteni / 2018 / Cilt: 56 - Sayı: 3

Adnexal Torsion: Difficulty in Diagnosis and Management

Adneksiyal Torsiyon: Tanı ve Tedavide Zorluk

Ayşe Filiz YAVUZ
Emre Erdem TAŞ
Pages
187–191
Publication Date
2022-10-17
DOI
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⚡ TL;DR(Too Long; Didn't Read)

Although there was no difference in thesurgical approaches (laparoscopy vs laparotomy) between the groups,age, gravidity, parity, body mass index, and ovarian cyst size weresignificantly lower in patients who were treated conservatively (p

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Objective & Hypothesis:Aim: To investigate both the diagnostic value of Dopplerultrasonographyand factors influencing surgical intervention inpatients with adnexal torsion (AT).Methods: We retrospectively examined medical records of 66 womenwith AT in a single center between January 2007 and December 2016.Results: Forty-three out of 66 patients (65.1%) with AT were correctlydiagnosed preoperatively.
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Key Findings & Data:On Doppler examination, reduced ovarianarterial blood velocity was observed in 39 patients (59.1%); and thesensitivity was 0.67.
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Conclusion & Impact:Although there was no difference in thesurgical approaches (laparoscopy vs laparotomy) between the groups,age, gravidity, parity, body mass index, and ovarian cyst size weresignificantly lower in patients who were treated conservatively (p
🔬Design:Research Article
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: To investigate both the diagnostic value of Dopplerultrasonographyand factors influencing surgical intervention inpatients with adnexal torsion (AT).Methods: We retrospectively examined medical records of 66 womenwith AT in a single center between January 2007 and December 2016.Results: Forty-three out of 66 patients (65.1%) with AT were correctlydiagnosed preoperatively. On Doppler examination, reduced ovarianarterial blood velocity was observed in 39 patients (59.1%); and thesensitivity was 0.67. AT was diagnosed in 49 patients (74.2%) vialaparotomy, and the number of patients who were subjected to radicaltreatment was higher than that of patients managed with conservativetreatment (54.6% vs 45.4%). Although there was no difference in thesurgical approaches (laparoscopy vs laparotomy) between the groups,age, gravidity, parity, body mass index, and ovarian cyst size weresignificantly lower in patients who were treated conservatively (p

Özet

Amaç: Adneksiyal torsiyonlu (AT) hastalarda Doppler ultrasonografinin tanısal değeri ve cerrahi müdahaleyi etkileyen faktörlerin araştırılmasıdır. Yöntemler: Ocak 2007-Aralık 2016 tarihleri arasında, tek merkezde AT’si bulunan 66 kadının tıbbi kayıtları retrospektif olarak incelendi. Bulgular: Operasyon öncesi 66 hastanın 43’ünde (%65,1) doğru tanı koyulmuştu. Doppler incelemede, 39 hastada (%59,1) overyan arterde akım kaybı olduğu izlendi; ve duyarlılık 0,6 idi. Kırk dokuz hastada (%74,2) AT tanısı laparotomi ile koyulmuştu ve radikal tedavi konservatif tedaviye göre daha fazla hastada uygulanmıştı (%54,6’ya karşı %45,4). Her ne kadar cerrahi yaklaşımlara (laparoskopiye karşı laparotomi) göre gruplar arasında fark olmasa da; yaş, gravidite, parite, vücut kütle indeksi ve over kist boyutu, konservatif tedavi uygulanan hastalarda anlamlı olarak daha düşüktü (p

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Cite This Article

YAVUZ, A. F., TAŞ, E. E. (2022). Adnexal Torsion: Difficulty in Diagnosis and Management. Haseki Tıp Bülteni, Cilt: 56 - Sayı: 3, 187–191. https://ajindex.com/articles/535117

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