{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:08:32Z","timestamp":1768460912327,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T00:00:00Z","timestamp":1414972800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We investigated the outcome on ovarian appearance and occurrence of adhesion after conservative laparoscopic surgery for adnexal torsion during reproductive age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Methods<\/jats:title><jats:p>From <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril 2009 to <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>eptember 2012, we treated patients with clinically suspected adnexal torsion who desired future pregnancy. We performed conservative surgery, such as cystectomy or detorsion at one\u2010stage operation, but switched to salpingo\u2010oophorectomy in complicated cases. We evaluated adnexal condition and pattern of adhesion by careful assessment with two\u2010stage laparoscopy or second\u2010look laparoscopy after first surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean age of patients was 25\u2009\u00b1\u20098 years. Among 37 patients with suspected adnexal torsion, 18 (49%) had adnexal torsion at first surgery. Conservative treatment was carried out in 14 of 18 cases. We obtained informed consent for second\u2010look laparoscopy or two\u2010stage operation in six of these 14 cases. Among these six patients, two cases were treated with only detorsion by one\u2010stage operation and cystectomy was performed in the other four cases at first operation. At subsequent surgery, the ovary appeared normal in six cases with occurrence of mild to moderate adhesion around the adnexal lesion. Of note, two cases with para\u2010ovarian cyst had torsion that showed complete tubal occlusions and associated severe adhesions. No major complications (peritonitis, thrombotic emboli) were observed after conservative laparoscopic surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Conservative laparoscopic surgery is a safe procedure to preserve ovarian function in women with adnexal torsion. Careful attention and measures should be considered during follow\u2010up management with the fact in mind that adhesion is a common occurrence and even tubal occlusion may occur in some cases.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.12534","type":"journal-article","created":{"date-parts":[[2014,11,3]],"date-time":"2014-11-03T08:23:58Z","timestamp":1415003038000},"page":"411-417","source":"Crossref","is-referenced-by-count":16,"title":["Outcome of conservative laparoscopic surgery for adnexal torsion through one\u2010stage or two\u2010stage operation"],"prefix":"10.1111","volume":"41","author":[{"given":"Akira","family":"Fujishita","sequence":"first","affiliation":[{"name":"Department of Gynecology Saiseikai Nagasaki Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Araki","sequence":"additional","affiliation":[{"name":"Department of Gynecology Saiseikai Nagasaki Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiko","family":"Yoshida","sequence":"additional","affiliation":[{"name":"Department of Gynecology Saiseikai Nagasaki Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Hamaguchi","sequence":"additional","affiliation":[{"name":"Department of Gynecology Saiseikai Nagasaki Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Gynecology Saiseikai Nagasaki Hospital  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuo","family":"Tsuda","sequence":"additional","affiliation":[{"name":"Department of Pathology Nagasaki Health Promotion Corporation  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Khaleque Newaz","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Graduate School of Biomedical Sciences, Nagasaki University  Nagasaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,11,3]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003081-200609000-00006"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mem.2001.114303"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(01)00518-8"},{"key":"e_1_2_6_5_1","first-page":"520","article-title":"Laparoscopic management of adnexal torsion. 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