E Kruger1, D S Heller. 1. Department of Obstetrics and Gynecology, Tulane Medical Center, New Orleans, Louisiana, USA.
Abstract
OBJECTIVE: To evaluate the correlation between clinical parameters, intraoperative assessment of tissue viability and histopathology in adnexal torsion. STUDY DESIGN: A retrospective study of 31 patients undergoing surgical intervention for adnexal torsion was performed, and clinical and pathologic parameters were compared. RESULTS: Intraoperative evaluation of viability was confirmed in 10/12 cases. Impression of necrosis was confirmed in 18/19 cases. Fever was seen in 2/12 patients with viable adnexa and in 7/19 patients with necrosis. CONCLUSION: Intraoperative impression of tissue viability correlated well with histopathology. Fever was significantly associated with tissue necrosis.
OBJECTIVE: To evaluate the correlation between clinical parameters, intraoperative assessment of tissue viability and histopathology in adnexal torsion. STUDY DESIGN: A retrospective study of 31 patients undergoing surgical intervention for adnexal torsion was performed, and clinical and pathologic parameters were compared. RESULTS: Intraoperative evaluation of viability was confirmed in 10/12 cases. Impression of necrosis was confirmed in 18/19 cases. Fever was seen in 2/12 patients with viable adnexa and in 7/19 patients with necrosis. CONCLUSION: Intraoperative impression of tissue viability correlated well with histopathology. Fever was significantly associated with tissue necrosis.