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PubMed · 2137290

Pelviscopic adnexectomy.

C P Perry·J C Upchurch
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Abstract

Removal of fallopian tubes and ovaries through the laparoscope is a safe and efficient alternative to laparotomy. Seventeen patients undergoing this procedure are described. This approach should be considered for those patients requiring adnexal surgery provided that the operator is skilled in multiple puncture laparoscopy.

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Adnexa UteriAdultFemaleFollow-Up StudiesHumansLaparoscopyMiddle AgedPelvisPostoperative ComplicationsTime FactorsJournal Article

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C P Perry, J C Upchurch. 1990. Pelviscopic adnexectomy.. https://doi.org/10.1016/0002-9378(90)90825-r

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PubMed2006

Successful pregnancy complicated by early and late adnexal torsion after in vitro fertilization.

OBJECTIVE: To report a case of unilateral adnexal torsion and subsequent contralateral adnexal torsion after in vitro fertilization. DESIGN: Case report and literature review. SETTING: Academic fertility center; university hospital. PATIENT(S): A 28-year-old woman with tubal factor infertility conceived with IVF and experienced mild-to-moderate ovarian hyperstimulation syndrome. Right adnexal torsion occurred at 7 weeks of gestation, and laparoscopic detorsion was performed. Subsequent contralateral adnexal torsion occurred at 19 weeks and was managed with laparotomy and salpingo-oophorectomy. INTERVENTION(S): Laparoscopic right adnexal detorsion and laparotomy with salpingo-oophorectomy for left adnexal torsion. MAIN OUTCOME MEASURE(S): Preservation of torsed adnexa and successful pregnancy. RESULT(S): Successful pregnancy and birth complicated by two episodes of adnexal torsion after IVF, and viable right adnexa after laparoscopic detorsion. CONCLUSION(S): Subsequent contralateral adnexal torsion is a rare complication of IVF and can occur in the second trimester. Data support preservation of the torsed adnexa despite the ovary's appearance.

Adnexa Uteri↗