Department of Obstetrics and Gynecology, School of Medicine, Ege University, Izmir, Turkey.
Department of Obstetrics and Gynecology, School of Medicine, Yale University, New Haven, Connecticut, United States.
Rev Bras Ginecol Obstet. 2022 Apr;44(4):336-342. doi: 10.1055/s-0042-1742403. Epub 2022 Feb 9.
To evaluate clinical characteristics, maternal and fetal outcomes in pregnant women who underwent surgery for adnexal torsion (AT).
All patients, who underwent surgical operation due to AT during pregnancy at the Department of Obstetrics and Gynecology, School of Medicine, Ege University between 2005 and 2020 were retrospectively investigated. Main clinical and perioperative outcomes were evaluated.
A total of 21 patients who underwent surgery due to AT during pregnancy were included. Of all patients, 61.9% underwent laparoscopy and the remaining 38.1% underwent laparotomy. The most common surgical procedure was adnexal detorsion in both groups (48%). Mean gestational age at the time of diagnosis, duration of surgery and hospitalization were significantly lower in the laparoscopy group, when compared with the laparotomy group ( = 0.006, = 0.001, and = 0.001, respectively.) One of the patients had an infection during the postoperative period. Spontaneous abortion was only observed in one case.
It can be concluded that the surgical intervention implemented for the exact diagnosis and treatment of AT (laparotomy or laparoscopy) did not have an unfavorable effect on pregnancy outcomes such as abortion, preterm delivery, and fetal anomaly. However, laparoscopy may be superior to laparotomy in terms of advantages.
评估因附件扭转（AT）而行手术的孕妇的临床特征、母婴结局。
回顾性分析 2005 年至 2020 年期间在伊兹密尔大学医学院妇产科因 AT 而行手术的所有妊娠患者。评估主要的临床和围手术期结局。
共纳入 21 例因 AT 而行手术的妊娠患者。所有患者中，61.9%行腹腔镜手术，38.1%行剖腹手术。两组最常见的手术方式均为附件复位（48%）。与剖腹组相比，腹腔镜组的诊断时孕龄、手术时间和住院时间明显更低（=0.006、=0.001 和=0.001）。1 例患者术后发生感染。仅 1 例发生自然流产。
可以得出结论，为明确诊断和治疗 AT 而行的手术干预（剖腹或腹腔镜）对流产、早产和胎儿畸形等妊娠结局没有不利影响。然而，腹腔镜在某些方面可能优于剖腹手术。
