Management of Ovarian, Isolated Fallopian Tube, or Adnexal Torsion (Open and MIS Approaches)

  • Alejandra Vilanova-Sánchez
  • Kate A. McCrackenEmail author


This chapter describes the surgical and nonsurgical management of ovarian, isolated fallopian tube, or adnexal torsion, via open and laparoscopic approach. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: abdominal access, anatomic assessment, reduction of torsion, ovarian or paratubal cystectomy, and suture pexy of the ligament as needed.


Pediatric surgery Operative dictation Gynecology Ovarian torsion Adnexal torsion Ovarian cystectomy Paratubal cystectomy Ovarian cyst Paratubal cyst 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Alejandra Vilanova-Sánchez
    • 1
  • Kate A. McCracken
    • 2
    Email author
  1. 1.Hospital La Paz, Department of Pediatric SurgeryMadridSpain
  2. 2.Nationwide Children’s Hospital, Department of Pediatric & Adolescent GynecologyColumbusUSA

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