A Comparison of Laparotomy and Laparoscopic Surgery in the Treatment of Adnexal Torsion in the Reproductive Age Group at a Tertiary Care Hospital in Türkiye

Objective: To retrospectively evaluate the sociodemographic and clinical characteristics, and laboratory and pathology results of patients who underwent surgical intervention due to adnexal torsion in our clinic over the previous 10 years. Materials and methods: A hundred and seventy six patients who underwent surgical procedures due to adnexal torsion, 146 of whom were treated with laparoscopy (L/S) (Group 1) and 30 with laparotomy (Group 2), between January 2014 and December 2024, were retrospectively and consecutively included in the study. The participants' sociodemographic and clinical characteristics, and laboratory and histopathology results were retrospectively recorded and compared. Results: While no difference was observed between the groups in terms of age, body mass index, smoking status, alcohol use, gravidity, mass size, symptoms on admission, torsion turn number, the torsioned site, presence of necrosis, pre- and postoperative hemoglobin levels, white blood cell count, neutrophil, lymphocyte, monocyte, and platelet counts, red cell distribution width, neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, C-reactive protein, or erythrocyte sedimentation rate values, significant differences were determined in operative times (40.81±18.09 in Group 1 vs 82.33±18.03 in Group 2, p