However, the recurrence rate following endoscopic detorsion
is relatively high, with a relatively high mortality rate.
The sigmoid colon was decompressed after detorsion
14) Antral follicle counts of detorsed and contralateral normal ovaries following a mean of 13 hours of hypoxia are similar 3 months following detorsion
Clinically, however, pain lasting more than four to eight hours is highly associated with lack of testicular viability unless detorsion
is performed (Chen et al.
Following the detorsion
of all the small intestinal segments, it was seen that the flow in the main branches of the superior mesenteric artery regained activity, but no significant change in coloring was achieved in the distal segments and the cecum.
Manual spermatic cord detorsion
at the bedside is controversial, as it can make the torsion worse.
The only treatment for this condition is urgent cholecystectomy with prior detorsion
Laparoscopic adnexal detorsion
, not adnexectomy is the procedure of choice unless the tissue is gangrenous.
6-8) The procedure entails a laparotomy and detorsion
of the midgut volvulus if present, division of the peritoneal bands extending from the caecum to the right abdominal gutter (which traverse the duodenum and often obstruct it), widening of the mesenteric base by division of the adhesions surrounding the SMA, placement of the bowel in a non-rotated position, and appendectomy.
Gursan, "Dehydroepiandrosterone treatment attenuates reperfusion injury after testicular torsion and detorsion
in rats," Journal of Pediatric Surgery, vol.
After surgical detorsion
, all laboratory values rapidly returned to normal levels.
The surgical management involves performing cholecystectomy with detorsion
of GB (6).