Laparoscopic Oophoropexy to Preserve Ovarian Function in Adnexal Torsion

Objective: Laparoscopic oophoropexy is performed by a minimally invasive technique that can be offered to any age premenopausal women with an appropriate indication. Adnexal torsion is an uncommon but important cause of emergency admission to the gynaecologist. Torsion of the adnexa has traditionally been treated by involved surgical excision of the affected structure, usually via laparotomy, because of the fear of emboli departing from thrombosed ovarian veins. Several recent reports have described successful conservative management with unwinding of the twisted adnexa. As the trend toward conservative management progresses, the incidence of recurrent adnexal torsion may increase. A more conservative surgical approach of untwisting the torsion has been widely reported in paediatric cases. Despite reports of the successful treatment of torsion with this approach in the adult population. Aims: The aim of this study is to evaluate the effectiveness and safety of laparoscopic oophoropexy in treatment of adnexal torsion. The following parameters were evaluated ovarian function after ovarian transposition. Material and Methods: A literature search was performed using Medline and the search engine google. The following search terms were used: adnexal torsion, management of adnexal torsion in pregnancy, management of adnexal torsion in childhood and adolescence. Conclusion: Adnexal torsion is a rare emergency condition of young women deserving for fertility mostly. Studies show that adnexal torsion occurs mostly on benign conditions so laparoscopic surgery and adnexal detortion even in necrotic appearing adnexa is the golden standard for women who desire for future fertility.