Kamprath S, Possover M, Merker A, Bechler J, Krause N, Schneider A
Department of Gynecology, Friedrich-Schiller-University, Jena, Germany.
Eur J Obstet Gynecol Reprod Biol. 1998 May;78(1):113-5. doi: 10.1016/s0301-2115(97)00273-x.
Laparoscopic adnexal preservation in a patient with complete torsion.
Laparoscopy was performed in a 20-year-old nulliparous patient with a 24-h history of lower abdominal pain.
Torsion of the left adnexa was diagnosed and detorsion was performed. After detorsion the patient reported complete resolution of pain. At second look laparoscopy blood supply of the left adnexa was completely normalized and a cystadenofibroma was excised with preservation of the ovary.
Complete torsion of adnexa associated with edema and ischemia can be treated by laparoscopic detorsion.
对完全扭转患者进行腹腔镜附件保留术。
对一名20岁未生育、有24小时下腹痛病史的患者进行腹腔镜检查。
诊断为左侧附件扭转并进行了扭转复位术。扭转复位术后患者报告疼痛完全缓解。二次腹腔镜检查时，左侧附件的血供完全恢复正常，切除了囊腺纤维瘤并保留了卵巢。
与水肿和缺血相关的附件完全扭转可通过腹腔镜扭转复位术治疗。
