PMID: 9639623Jun 26, 1998Paper

Torsion of the adnexa in children: the value of laparoscopy

Pediatric Surgery International
H SteyaertJ S Valla

Abstract

Experience with adnexal torsion in neonates and children is often disappointing. Delay between the first symptoms and operation is important, and adnexal loss the rule. The authors reviewed their experience and the literature to assess the appropriate diagnostic and therapeutic approach. Diagnostic procedures (standard ultrasonography [US], color Doppler US, computed tomography, magnetic resonance imaging, endorectal US, and diagnostic laparoscopy) are discussed; for neonates and premenarcheal girls a specific surgical approach is proposed. Twenty-seven adnexal torsions treated between 1985 and 1995 in the same institution were retrospectively reviewed. Neonatal (7) and premenarcheal cases (20) were separated. The neonatal cases (7) were all operated upon: 4 adnexectomies, 2 oophorectomies, and 1 detorsion with cystectomy were performed. In the premenarcheal group (20) 8 adnexectomies, 6 oophorectomies, 5 detorsions with cystectomy, and 1 salpingectomy were performed. There were only 6 salvaged adnexa in this series. In the neonatal group, US seemed accurate in predicting complicated cases. Prenatal puncture of large (>40 mm) ovarian cysts is possible. The authors advocate a laparoscopic approach in the first days of life of al...Continue Reading

Citations

Apr 15, 2000·The Australian and New Zealand Journal of Surgery·K H LeeK K Liu
Jul 23, 2008·Pediatric Emergency Care·Yi-Jung ChangShao-Hsuan Hsia
Mar 13, 2012·Journal of Paediatrics and Child Health·Yuen Shan WongKim Hung Lee
Dec 3, 2014·Seminars in Pediatric Surgery·Martin LacherBenno M Ure
Apr 28, 2011·Journal of Minimal Access Surgery·Vishwanath V ShindholimathYenni Veerabhadrappa Veerappa
Oct 1, 2013·Journal of Pediatric Surgery·Lina Geimanaite, Kestutis Trainavicius
May 3, 2011·Seminars in Fetal & Neonatal Medicine·Joachim F Kuebler, Benno M Ure
Mar 2, 2010·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Cyrille Huchon, Arnaud Fauconnier
Sep 9, 2009·Journal of Pediatric Surgery·Philippe GalinierPhilippe Vaysse
Nov 21, 2014·Acta Obstetricia Et Gynecologica Scandinavica·Trine E W HyttelEllen C L Løkkegaard
Mar 3, 2009·Journal of Minimally Invasive Gynecology·Sridevi SankaranF Odejinmi
Jan 6, 2015·World Journal of Pediatrics : WJP·Abdul Ghani Nur AzurahBeng Kwang Ng
Feb 10, 2004·The Journal of Urology·Ciro EspositoJean Michael Guys
Oct 30, 2016·The Journal of Emergency Medicine·Abigail M SchuhJulie C Brown
Aug 3, 2004·Revista do Hospital das Clínicas·Jesus Paula CarvalhoCarlos Alberto Diegoli
Jul 3, 2020·Pediatrics in Review·Kathryn H Pade, Marie R Waterhouse

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