What are the guideline sources, guidelines and references for Adnexal torsion ?
Guideline sources The following summarized guidelines for the evaluation and management of adnexal torsion are prepared by our editorial team based on guidelines from the Society of Obstetricians and Gynaecologists of Canada (SOGC 2023; 2017) and the American College of Obstetricians and Gynecologists (ACOG 2019; 2016). 1 2 3 4 Guidelines 1. Screening and diagnosis Diagnosis: suspect adnexal torsion in female patients presenting with acute abdominal pain. B 2. Diagnostic investigations Pelvic ultrasound: Obtain ultrasound with and without color flow Doppler as the imaging modality of choice in patients with suspected adnexal torsion. B Recognize that decreased or absent color Doppler flow, increased total ovarian volume, and abnormal adnexal volume ratios may be suggestive of adnexal torsion. B https://web.pathway.md/diseases/recsH3tslb1gzNbmy 1/2 6/23/23, 2:09 AM Adnexal torsion Pathway 3. Surgical interventions Surgical detorsion and cystectomy, indications: as per SOGC 2017 guidelines, perform surgery as soon as possible, recognizing that prompt diagnosis and referral to a surgeon minimize trauma and ischemia to the ovary when torsion is suspected. B Show 2 more Surgical detorsion and cystectomy, technical considerations: As per SOGC 2023 guidelines: Perform laparoscopy as the preferred approach for ovarian cystectomy. B Use sutures or hemostatic sealants over bipolar cautery for hemostasis during cystectomy. B As per SOGC 2017 guidelines, perform laparoscopy as the preferred surgical approach in patients with adnexal torsion. B Show 3 more 4. Specific circumstances Adolescent patients (evaluation): recognize that the most common clinical symptom of adnexal torsion in adolescent patients is sudden-onset, intermittent, non-radiating abdominal associated with nausea and vomiting. E Show 4 more Adolescent patients (management): consult with a obstetrician-gynecologist treating mainly adult patients to manage adnexal torsion in adolescent patients. Recognize that although surgical steps may be similar to those taken when treating adult patients, there are technical adaptations and specific challenges when performing gynecologic surgery in adolescents. E Show 6 more References 1. Sari Kives, Suzy Gascon, lise Dubuc et al. No. 341 Diagnosis and Management of Adnexal Torsion in Children, Adolescents, and Adults. J Obstet Gynaecol Can. 2017 Feb;39 2 82 90. Open 2. American College of Obstetricians and Gynecologists Committee on Practice Bulletins Gynecology. Practice Bulletin No. 174 Evaluation and Management of Adnexal Masses. Obstet Gynecol. 2016 Nov;128 5):e210-e226. Open 3. Tarek Motan, Roland Antaki, Jinglan Han et al. Guideline No. 435 Minimally Invasive Surgery in Fertility Therapy. J Obstet Gynaecol Can. 2023 Apr;45 4 273 282.e2. Open 4. No authors listed. Adnexal Torsion in Adolescents: ACOG Committee Opinion No, 783. Obstet Gynecol. 2019 Aug;134 2):e56-e63. Open https://web.pathway.md/diseases/recsH3tslb1gzNbmy 2/2