Adnexal torsion: Experience at a Single University Center

Tony Ogburn, James Wurzel, Eve Espey, David Espey

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations


OBJECTIVE: To review the management of adnexal torsion over an 11-year period at a single institution and to assess trends in the surgical approach, including laparoscopy vs. laparotomy, and ovarian conservation vs. removal. STUDYDESIGN: A chart review of all patients treated for adnexal torsion at the University of New Mexico from 1990 to 2001 was performed. RESULTS: Sixty-eight cases of adnexal torsion were identified. Laparoscopic management was accomplished in 22 cases (32%) and ovarian conservation in 14 cases (20.6%). There were no differences in the use of laparoscopy (OR 2.24, CI 0.65-7.93), or ovarian conservation (OR 1.24, CI 0.31-5.35) in patients treated before 1996 vs. later in the study period. CONCLUSION: Despite evidence supporting conservative management of adnexal torsion with laparoscopy and ovarian conservation, most cases at our institution are managed with open laparotomy and removal of the affected adnexa.

Original languageEnglish (US)
Pages (from-to)591-594
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Issue number8
StatePublished - Aug 2005
Externally publishedYes


  • Axnexa uteri
  • Ovaries
  • Torsion

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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