Adnexal torsion recurrence-is the adnexal twist degree a risk factor? A retrospective cohort study.
Adnexal cyst
adnexal torsion
torsion recurrence
twist degree
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
08 2021
08 2021
Historique:
accepted:
16
04
2021
pubmed:
13
5
2021
medline:
3
8
2021
entrez:
12
5
2021
Statut:
ppublish
Résumé
To evaluate whether the adnexal twist degree is related to torsion recurrence and whether there is a dose-dependent correlation. A retrospective cohort study. Single tertiary medical centre. The study includes non-pregnant patients operated, for the first time, for adnexal torsion, between 2011 and 2018. Information regarding the degree of adnexal twist was collected from surgical reports. Recurrence was identified using a computerised database and ascertained via telephone with a response rate of 87.2% (253/290). Adnexal torsion recurrence rate. A total of 182 women who had undergone laparoscopic detorsion met the inclusion criteria. Twenty-two had torsion recurrence (12.1%). Adnexal twist degree in the primary event was associated with a higher recurrence risk: 4.3% of women with twist degree ≤360 (n = 3/70), 14.5% of women with twist degree of 361-720 (n = 9/62) and 20% of women with twist degree >720 (n = 10/50) (P = 0.03). The median twist degree was 540 (interquartile range [IQR] 360-855) and 720 (IQR 675-1080) degrees in the control and study groups, respectively (P = 0.005). Additional possibly associated factors for recurrence were evaluated. Age emerged as a possible risk factor, with a median age of 19 years in the recurrence group (IQR 14-27 years) versus 28.5 (IQR 19-36 years) in the non-recurrence group (P < 0.01). Logistic regression analysis revealed that together with age, adnexal twist degree remained significantly associated with torsion recurrence (odds ratio [OR] 1.98, 95% CI 1.09-3.61; P = 0.02). Adnexal twist degree was found to be positively associated with the risk of torsion recurrence. Adnexal twist degree was found to be positively associated with the risk of torsion recurrence.
Identifiants
pubmed: 33978295
doi: 10.1111/1471-0528.16738
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1511-1516Informations de copyright
© 2021 John Wiley & Sons Ltd.
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