Conservative management of adnexal torsion
Article Abstract:
Women with adnexal torsion may benefit from conservative surgical treatment rather than the more traditional removal of fallopian tubes and ovaries. Adnexal torsion refers to twisting of the fallopian tubes and ovaries such as may be caused by the development of a cyst. The medical records of 94 women under 40 years old who were treated for adnexal torsion were reviewed. Adnexal structures were untwisted during surgery and left intact if they appeared viable. Any cysts present were then removed; this was the conservative approach. If the adnexal tissue was injured or appeared nonfunctional, it was removed. If the surgeons were unable to tell if the tissue was viable, dye was injected into the patient's arm and then the structure was reexamined to determine if blood was flowing through it. Of the 94 women studied, 65% benefited from the conservative approach. None of the women who had the conservative surgery developed any problems with blood clots. Women who had to have their fallopian tubes and ovaries removed were more likely to have had fevers before surgery. They were also more likely to have had elevated white blood cell counts which might indicate the presence of an infection. They also had larger masses than those who were conservatively treated.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1993
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Laparoscopic management of suspicious adnexal masses
Article Abstract:
Suspicious ovarian masses appear to be manageable via laparoscopic surgery. Laparoscopies are surgical procedures performed through small openings using special instruments. A group of 138 women had exploratory laparoscopic surgery for suspicious ovarian masses. Nineteen women had cancer. Surgery was converted to a full incision in 11 cases either to facilitate removal of the mass for staging or to remove cancer. Three women experienced major complications, all of which were managed satisfactorily. The problems that have been reported with laparoscopic surgery for ovarian masses have to do with surgical mismanagement and not with the choice of procedure.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1996
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Early pregnancy termination with intravaginally administered sodium chloride solution-moistened misoprostol tablets: historical comparison with mifepristone and oral misoprostol
Article Abstract:
Putting a moistened misoprostol tablet in the vagina can induce abortion as well as oral mifepristone and oral misoprostol, according to a study of 200 women. Mifepristone is not available in many countries and an alternate method of inducing abortion is needed.
Publication Name: American Journal of Obstetrics and Gynecology
Subject: Health
ISSN: 0002-9378
Year: 1999
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