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. 2004 Aug;11(3):336-9.
doi: 10.1016/s1074-3804(05)60046-1.

Adnexal torsion after laparoscopic hysterectomy: description of seven cases

Roy Mashiach  1 , Michel Canis, Kris Jardon, Gerard Mage, Jean-Luc Pouly, Arnaud Wattiez
Affiliations

Adnexal torsion after laparoscopic hysterectomy: description of seven cases

Roy Mashiach et al. J Am Assoc Gynecol Laparosc. 2004 Aug.

Abstract

Study objective: To discover the prevalence of adnexal torsion after laparoscopic hysterectomy.

Design: Retrospective analysis (Canadian Task Force classification II-3).

Setting: A tertiary referral hospital.

Patients: One thousand thirty-three women underwent laparoscopic hysterectomies between the years 1995 and 2002. The mean age (+/- SD) of the women at the time of hysterectomy was 43.87 +/- 4.28 years. Intervention. Laparoscopic hysterectomy in which at least one adnexa was left intact.

Measurements and main results: The files of all women with adnexal torsion diagnosed by laparoscopy from 1995 to 2003 were retrospectively reviewed. In seven women, adnexal torsion occurred after laparoscopic hysterectomy. Torsion occurred 2.64 (+/- 1.79) years (mean +/- SD) after hysterectomy. Torsion was treated by laparoscopy in all of the women; either oophorectomy or detorsion and ovariopexy was performed. We calculated the prevalence of this complication to be 7.91/1000.

Conclusion: Adnexal torsion can occur after laparoscopic hysterectomy.

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