Treatment of Twisted Ischemic Adnexa by Simple Detorsion

Josef Shalev, Mordechai Goldenberg, Gabriel Oelsner, Zion Ben-Rafael, David Bider, Josef Blankstein, Shlomo Mashiach

Research output: Contribution to journalLetterpeer-review


To the Editor: It is generally agreed that torsion and ischemia of adnexa will require treatment by adnexectomy.1 Since torsion of the adnexa in female patients usually occurs at or before the age of reproduction,2 we conducted a study to determine whether twisted adnexa with ischemic changes could be salvaged safely by detorsion. In our series, 19 female patients between the ages of 2 1/2 and 35 years underwent emergency surgery for torsion of normal adnexa (2 girls in premenarche, 2 women in the 7th and 23rd weeks of pregnancy, 3 women with ovarian hyperstimulation, and 12 other patients). All….

Original languageEnglish
Pages (from-to)546
Number of pages1
JournalNew England Journal of Medicine
Issue number8
StatePublished - 24 Aug 1989
Externally publishedYes


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