gynecology and obstetrics
Adnexal Torsion
Treatment of Adnexal Torsion
Surgery to salvage the ovary If adnexal torsion is suspected, laparoscopy (or rarely laparotomy) is done immediately to confirm the diagnosis and to attempt to salvage the ovary and fallopian tube by detorsing (untwisting) them, especially in a woman of reproductive age, and restoring perfusion. Salpingo-oophorectomy is required for nonviable or necrotic tissue. If an ovarian cyst or mass is present and the ovary can be salvaged, cystectomy is done. Otherwise, oophorectomy is required. 