Diagnosis and Management of Isolated Tubal Torsion Is Salpingectomy Mandatory?
Küçük Resim Yok
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
SCI PRINTERS & PUBL INC
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
OBJECTIVE: To review the clinical characteristics of patients with isolated fallopian tube torsion (IFTT). STUDY DESIGN: We conducted a retrospective study of a consecutive series of IFTT cases presenting at 2 tertiary referral centers. All patients underwent laparoscopic assessment, and the fallopian tube and its ligamentous support were gently untwisted to assess ischemic lesions. Patients were classified based on the following 3 criteria: complete recovery (Group A), partial recovery (Group B), and without any recovery (Group C). RESULTS: Our series consisted of 9 patients. Group A (2 cases) and Group B (5 cases) were managed conservatively. Two patients were assigned to group C and underwent laparoscopic salpingectomy. During early postoperative period, in the conservatively managed group 4 patients underwent hysterosalpingography examination, and both fallopian tubes were found to be patent. One of these 4 patients had a spontaneous pregnancy and delivered a healthy infant, and another patient had a miscarriage at 6 weeks' gestation. Imaging revealed no pathological findings in the remaining 3 virgins in the conservatively managed group. No infections, peritonitis, thromboembolic events, or other complications occurred during the follow-up period. CONCLUSION: Conservative management of IFTT can be considered a safe option, even if little evidence of recovery is observed after detorsion.
Açıklama
Anahtar Kelimeler
abdominal pain, fallopian tube, fallopian tube diseases, isolated tubal torsion, laparoscopy, salpingectomy, conservative therapy, torsion abnormality
Kaynak
JOURNAL OF REPRODUCTIVE MEDICINE
WoS Q Değeri
Q4
Scopus Q Değeri
Cilt
63
Sayı
09.10.2020
