Adnexal torsion after laparoscopic hysterectomy: Description of seven cases

Study Objective. To discover the prevalence of adnexal torsion after laparoscopic hysterectomy. Design. Retrospective analysis (Canadian Task Force classification II-3). Setting. A tertiary referral hospital. Patients. One thousand thirty-three women underwent laparoscopic hysterectomies between the years 7995 and 2002. The mean age (+/- SD) of the women at the time of hysterectomy was 43.87 +/- 4.28 years. Intervention. Laparoscopic hysterectomy in which at least one adnexa was left intact. Measurements and Main Results. The files of all women with adnexal torsion diagnosed by laparoscopy from 1995 to 2003 were retrospectively reviewed. In seven women, adnexal torsion occurred after laparoscopic hysterectomy. Torsion occurred 2.64 (+/- 1.79) years (mean +/- SD) after hysterectomy. Torsion was treated by laparoscopy in all of the women; either oophorectomy or detorsion and ovariopexy was performed. We calculated the prevalence of this complication to be 7.91/1000. Conclusion. Adnexal torsion can occur after laparoscopic hysterectomy.