A Comparison of Laparotomy and Laparoscopic Surgery in the Treatment of Adnexal Torsion in the Reproductive Age Group at a Tertiary Care Hospital in Türkiye

Bekir Sıtkı İsenlik; Ödül Özkan Kalfagil; Sinem Tuzcuoğlu; Orkun Han; Zeynep Ozturk Inal; Hasan İnal

Makale detayları

A Comparison of Laparotomy and Laparoscopic Surgery in the Treatment of Adnexal Torsion in the Reproductive Age Group at a Tertiary Care Hospital in Türkiye

Yazarlar:

Bekir Sıtkı İsenlik | Ödül Özkan Kalfagil | Sinem Tuzcuoğlu | Orkun Han | Zeynep Ozturk Inal | Hasan İnal

Yayıncı:

Hitit University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Hitit Medical Journal Vol.7 Issue 3, pp.323-330

Belge Tipi:

Makale

Yayın Tarihi:

10/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001360223

pISSN:

2687-4717

Anahtar kelimeler:

Özet:

 Objective: To retrospectively evaluate the sociodemographic and clinical characteristics, and laboratory and pathology results of patients who underwent surgical intervention due to adnexal torsion in our clinic over the previous 10 years. Materials and methods: A hundred and seventy six patients who underwent surgical procedures due to adnexal torsion, 146 of whom were treated with laparoscopy LS Group 1 and 30 with laparotomy Group 2, between January 2014 and December 2024, were retrospectively and consecutively included in the study. The participants sociodemographic and clinical characteristics, and laboratory and histopathology results were retrospectively recorded and compared. Results: While no difference was observed between the groups in terms of age, body mass index, smoking status, alcohol use, gravidity, mass size, symptoms on admission, torsion turn number, the torsioned site, presence of necrosis, pre- and postoperative hemoglobin levels, white blood cell count, neutrophil, lymphocyte, monocyte, and platelet counts, red cell distribution width, neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, C-reactive protein, or erythrocyte sedimentation rate values, significant differences were determined in operative times 40.8118.09 in Group 1 vs 82.3318.03 in Group 2, p0.001 and hospitalization days 3.121.15 vs 4.331.54, p0.002. Detorsion  cystectomy was the most commonly performed surgical procedure, while mature cystic teratoma was the most frequently observed histopathological finding. Conclusion: This study showed that LS has established itself as a frequently performed surgical procedure in women of reproductive age with adnexal torsion. The results of this study should now be confirmed by research involving larger numbers of participants.

 Objective: To retrospectively evaluate the sociodemographic and clinical characteristics, and laboratory and pathology results of patients who underwent surgical intervention due to adnexal torsion in our clinic over the previous 10 years. Materials and methods: A hundred and seventy six patients who underwent surgical procedures due to adnexal torsion, 146 of whom were treated with laparoscopy LS Group 1 and 30 with laparotomy Group 2, between January 2014 and December 2024, were retrospectively and consecutively included in the study. The participants sociodemographic and clinical characteristics, and laboratory and histopathology results were retrospectively recorded and compared. Results: While no difference was observed between the groups in terms of age, body mass index, smoking status, alcohol use, gravidity, mass size, symptoms on admission, torsion turn number, the torsioned site, presence of necrosis, pre- and postoperative hemoglobin levels, white blood cell count, neutrophil, lymphocyte, monocyte, and platelet counts, red cell distribution width, neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, C-reactive protein, or erythrocyte sedimentation rate values, significant differences were determined in operative times 40.8118.09 in Group 1 vs 82.3318.03 in Group 2, p0.001 and hospitalization days 3.121.15 vs 4.331.54, p0.002. Detorsion  cystectomy was the most commonly performed surgical procedure, while mature cystic teratoma was the most frequently observed histopathological finding. Conclusion: This study showed that LS has established itself as a frequently performed surgical procedure in women of reproductive age with adnexal torsion. The results of this study should now be confirmed by research involving larger numbers of participants.

 Objective: To retrospectively evaluate the sociodemographic and clinical characteristics, and laboratory and pathology results of patients who underwent surgical intervention due to adnexal torsion in our clinic over the previous 10 years. Materials and methods: A hundred and seventy six patients who underwent surgical procedures due to adnexal torsion, 146 of whom were treated with laparoscopy LS Group 1 and 30 with laparotomy Group 2, between January 2014 and December 2024, were retrospectively and consecutively included in the study. The participants sociodemographic and clinical characteristics, and laboratory and histopathology results were retrospectively recorded and compared. Results: While no difference was observed between the groups in terms of age, body mass index, smoking status, alcohol use, gravidity, mass size, symptoms on admission, torsion turn number, the torsioned site, presence of necrosis, pre- and postoperative hemoglobin levels, white blood cell count, neutrophil, lymphocyte, monocyte, and platelet counts, red cell distribution width, neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, C-reactive protein, or erythrocyte sedimentation rate values, significant differences were determined in operative times 40.8118.09 in Group 1 vs 82.3318.03 in Group 2, p0.001 and hospitalization days 3.121.15 vs 4.331.54, p0.002. Detorsion  cystectomy was the most commonly performed surgical procedure, while mature cystic teratoma was the most frequently observed histopathological finding. Conclusion: This study showed that LS has established itself as a frequently performed surgical procedure in women of reproductive age with adnexal torsion. The results of this study should now be confirmed by research involving larger numbers of participants.

 Amaç: Kliniğimizde son 10 yıl içinde adneksal torsiyon nedeniyle cerrahi müdahale geçiren hastaların sosyodemografik ve klinik özelliklerini, laboratuvar ve patoloji sonuçlarını geriye dönük olarak değerlendirmek. Gereç ve Yöntem: Ocak 2014 ile Aralık 2024 arasında adneksal torsiyon nedeniyle cerrahi işlemler geçiren 176 hasta çalışmaya geriye dönük ve ardışık olarak dahil edilmiştir; bunlardan 146sı laparoskopi LS ile Grup 1 ve 30u laparotomi ile Grup 2 tedavi edilmiştir. Katılımcıların sosyodemografik ve klinik özellikleri ile laboratuvar ve histopatoloji sonuçları geriye dönük olarak kaydedilmiş ve karşılaştırılmıştır. Bulgular: Gruplar arasında yaş, vücut kitle indeksi, sigara durumu, alkol kullanımı, gravidisite, kitle boyutu, başvuru sırasında semptomlar, torsiyone tur sayısı, torsiyone taraf, nekroz varlığı, pre- ve postoperatif hemoglobin seviyeleri, lökosit, nötrofil, lenfosit, monosit ve trombosit sayıları, kırmızı hücre dağılım genişliği, nötrofil-lenfosit oranı, trombosit-lenfosit oranı, C-reaktif protein veya eritrosit sedimentasyon hızı değerleri açısından herhangi bir fark gözlemlenmemiştir; ancak operasyon süresinde 40.8118.09 vs 82.3318.03, p0.001 ve hastanede yatış gününde 3.121.15 vs 4.331.54, p0.002 anlamlı farklılıklar belirlenmiştir. Detorsiyon  kistektomi en sık gerçekleştirilen cerrahi prosedür olurken, olgun kistik teratom en sık gözlemlenen histopatolojik bulgudur. Sonuç: Bu çalışma, LSnin üreme çağındaki adnexial torsiyonu olan kadınlarda sıkça gerçekleştirilen bir cerrahi prosedür haline geldiğini göstermiştir. Bu çalışmanın sonuçları, daha fazla katılımcı içeren araştırmalarla doğrulanmalıdır.

Makale detayları

A Comparison of Laparotomy and Laparoscopic Surgery in the Treatment of Adnexal Torsion in the Reproductive Age Group at a Tertiary Care Hospital in Türkiye

Yazarlar:

Bekir Sıtkı İsenlik | Ödül Özkan Kalfagil | Sinem Tuzcuoğlu | Orkun Han | Zeynep Ozturk Inal | Hasan İnal

Yayıncı:

Hitit University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Hitit Medical Journal Vol.7 Issue 3, pp.323-330

Belge Tipi:

Makale

Yayın Tarihi:

10/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001360223

pISSN:

2687-4717

adnexial torsiyon

clinical feature

laparoscopy

laparatomyAdneksiyal torsiyon

klinik özellik

laparoskopi

laparatomi

Sayı

Makale detayları

Yazarlar: Bekir Sıtkı İsenlik | Ödül Özkan Kalfagil | Sinem Tuzcuoğlu | Orkun Han | Zeynep Ozturk Inal | Hasan İnal

Yayıncı: Hitit University

Ana Başlıklar: Kadın Hastalıkları ve Doğum

Dergi: Hitit Medical Journal Vol.7 Issue 3, pp.323-330

Belge Tipi: Makale

Yayın Tarihi: 10/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001360223

pISSN: 2687-4717

Sayı

Yazarlar:

Bekir Sıtkı İsenlik | Ödül Özkan Kalfagil | Sinem Tuzcuoğlu | Orkun Han | Zeynep Ozturk Inal | Hasan İnal

Yayıncı:

Hitit University

Ana Başlıklar:

Kadın Hastalıkları ve Doğum

Dergi:

Hitit Medical Journal Vol.7 Issue 3, pp.323-330

Belge Tipi:

Makale

Yayın Tarihi:

10/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001360223

pISSN:

2687-4717