Diagnosis and management of isolated tubal torsion: Is salpingectomy mandatory?

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dc.contributor.authorUçar M.G.
dc.contributor.authorÇelik M.
dc.contributor.authorŞanlikan F.
dc.contributor.authorIlhan T.T.
dc.contributor.authorGöçmen A.
dc.contributor.authorÇelik Ç.
dc.date.accessioned2020-03-26T20:11:45Z
dc.date.available2020-03-26T20:11:45Z
dc.date.issued2018
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractOBJECTIVE: 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. © Journal of Reproductive Medicine®, Inc.en_US
dc.identifier.endpage472en_US
dc.identifier.issn0024-7758en_US
dc.identifier.issue5en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage467en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/37187
dc.identifier.volume63en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherJournal of Reproductive Medicine, Inc.en_US
dc.relation.ispartofJournal of Reproductive Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAbdominal painen_US
dc.subjectConservative therapyen_US
dc.subjectFallopian tubeen_US
dc.subjectFallopian tube diseasesen_US
dc.subjectIsolated tubal torsionen_US
dc.subjectLaparoscopyen_US
dc.subjectSalpingectomyen_US
dc.subjectTorsion abnormalityen_US
dc.titleDiagnosis and management of isolated tubal torsion: Is salpingectomy mandatory?en_US
dc.typeArticleen_US

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