Fertility and Sterility
Volume 82, Issue 4 , Pages 933-936, October 2004

Laparoscopic oophoropexy for the treatment of recurrent torsion of the adnexa in pregnancy: Case report and review

  • Darius Djavadian, M.D.

      Affiliations

    • Corresponding Author InformationReprint requests: Darius Djavadian, M.D., Universitätsklinikum Hamburg – Eppendorf, Klinik und Poliklinik für Frauenheilkunde und Geburtshilfe, Martinistrasse 52, Hamburg 20246, Germany (FAX: 49-40-42803-7779
  • ,
  • Wilhelm Braendle, M.D.
  • ,
  • Fritz Jaenicke, M.D.

University Hospital Hamburg, Hamburg, Germany

Received 29 October 2003; received in revised form 8 March 2004; accepted 8 March 2004.

Objective

To introduce a new surgical approach, oophoropexy to prevent recurrent adnexal torsion.

Design

Case report and review of the literature.

Setting

The obstetrics and gynecology department of a university hospital.

Patient(s)

A 29-year-old pregnant patient who had three events of torsion of the adnexa after stimulation.

Intervention(s)

Laparoscopic oophoropexy.

Main outcome measure(s)

Incidence of torsion.

Result(s)

No more torsion events were registered during the ongoing pregnancy.

Conclusion(s)

Laparoscopic oophoropexy is recommended in emergency situations to increase adnexal salvage and to prevent a recurrence.

Key words:  Adnexal torsion , pregnancy , laparoscopy , oophoropexy

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PII: S0015-0282(04)01277-4

doi:10.1016/j.fertnstert.2004.03.048

Fertility and Sterility
Volume 82, Issue 4 , Pages 933-936, October 2004