Russian Journal of Pediatric Surgery, Anesthesia and Intensive CareRussian Journal of Pediatric Surgery, Anesthesia and Intensive Care2219-40612587-6554Eco-Vector25210.17816/psaic252LAPAROSCOPIC TREATMENT IN GIRLS WITH ADNEXAL TORSIONKorovinS. A.korovinsa@mail.ruDzyadchikA. V.noemail@neicon.ruGalkinaYa. A.noemail@neicon.ruSokolovYu. Yu.sokolov-surg@yandex.ruRussian Medical Academy of Postgraduate EducationZ.A. Bashlyaeva Children’s Municipal Clinical Hospital3006201662737930012017Copyright © 2016, Korovin S.A., Dzyadchik A.V., Galkina Y.A., Sokolov Y.Y.2016The article sums up the experience of using laparoscopic treatment in 57 girls with adnexal torsion aged 1 month-18 years treated at Z.A. Bashlyaeva Children’s Municipal Clinical Hospital from 2005 to 2015. The patients were hospitalized within 2-240 hours from the onset of the disease. Ultrasound examination of the abdomen (57) was performed in all patients on admittance. X-ray examination and abdominal CT (2) were performed when teratomatous ovarian elements were suspected. Laparoscopic interventions were effective in all patients. Laparoscopic detorsion of the uterine adnexa were accompanied with puncture, aspiration of retention cysts (21), removal of parovarian cysts (12), and resection of teratomatous elements. Salpingo-oophorectomy was done in necrosis of the uterine adnexa. No complications were found during surgeries and in the postoperative period. Based on the results of histological studies, all removed cystic new formations were benign.лапароскопияперекрут придатков маткидевочкиlaparoscopyadnexal torsionsgirls[Краснопеева Ю.В., Порицкий Е.А., Антоненко Ф.Ф. и др. Оптимизация хирургической тактики при перекруте кисты яичника у детей и подростков // Бюллетень ВСНЦ СО РАМН. 2006. № 1 (47). С. 72-75.][Galinier P., Carfagna L., Delsol M. et al. Ovarian torsion. Management and ovarian prognosis: a report of 45 cases // J. Pediatr. Surg. 2009. Sep. 44 (9). P. 1759-1765.][Geimanaite L., Trainavicius K. Ovarian torsion in children: management and outcomes // J. Pediatr. Surg. 2013. Sep. 48 (9). P. 1946-1953.][Адамян Л.В., Дьяконова Е.Ю., Сибирская Е.В., Поддубный И.В., Глыбина Т.М. и др. Хирургическая тактика при перекрутах придатков матки у детей // Репродуктивное здоровье детей и подростков. 2014. № 4. С. 35-41.][Милюкова Л.П., Умань Н.В., Юрков Г.С. Диагностика и лечение нарушения кровообращения придатков матки у девочек // Бюллетень ВСНЦ СО РАМН. 2008. № 3 (61). С. 106-107.][Чундокова М.А., Коколина В.Ф., Дронов А.Ф. и др. Опухолевидные образования яичников у новорожденных // Детская хирургия. 2008. № 4. С. 43-47.][Петлах В.И., Коновалов А.К., Константинова И.П. и др. Диагностика и лечение гинекологических заболеваний в практике детского хирурга // Врач/ 2012. № 1. С. 3-7.][Oltmann S.C., Fischer A., Barber R. et al. Pediatric ovarian malignancy presenting as ovarian torsion: incidence and relevance // J. Pediatr. Surg. 2010. Jan. No 45 (1). P. 135-139.][Fady G., Sherif E., Andrea L. et al. Laparoscopic Treatment of Isolated Salpingeal Torsion in Children: Case Series and a 20-Year Review of the Literature // Journal of laparoendoscopic & advanced surgical techniques. 2012. No 9. P. 941-947.][Hannah G.P., Sarah C.O., Lin X. et al. Ovarian torsion: diagnosis of inclusion mandates earlier intervention // Journal of Pediatric Surgery. 2012. No 47. P. 2071-2076.][Agarwal P., Agarwal P., Bagdi R. et al. Ovarian preservation in children for adenexal pathology, current trends in laparoscopic management and our experience // J. Indian Assoc. Pediatr. Surg. 2014. Apr. No 19 (2). P. 65-69.][Andrea Hayes-Jordan. Surgical management of the incidentally identified ovarian mass // Seminars in pediatric surgery. 2005. P. 106-110.][Heather A., Cynthia A., Jeanne Choi-Rosen et al. Кey Clinical Predictors in the Early Diagnosis of Adnexal Torsion in Children // Journal Pediatr. Adolesc. Gynecol. 2013. No 26. P. 167-170.][Parelkar S.V., Mundada D., Sanghvi B.V. et al. Should the ovary always be conserved in torsion? A tertiary care institute experience // J. Pediatr. Surg. 2014. Mar. No 49 (3). P. 465-468.][Santos X.M., Cass D.L., Dietrich J.E. Outcome Following Detorsion of Torsed Adnexa in Children // J. Pediatr. Adolesc. Gynecol. 2015. Jun. No 28 (3). P. 136-138.][Aziz D., Davis V., Allen L. et al. Ovarian torsion in children: is oophorectomy necessary? // J. Pediatr. Surg. 2004. May. No 39 (5). P. 750-753.][Abes M., Sarihan H. Oophoropexy in children with ovarian torsion // Eur. J. Pediatr. Surg. 2004. No 14. P. 168-171.]