Analysing “Dr Sachin's criteria” for Adnexal Torsion Management & its Variable

Introduction Adnexal torsion is 5th most common gynaecological emergency occurring in about 2 - 15% of reproductive age group women, wherein both ovary and fallopian tube twist along the vascular pedicle which causes obstruction to venous outflow and arterial inflow. Dr Sachins criteria for adnexal torsion management: 1. If adnexal torsion + ovarian cyst = / > 5cm do ovarian cystectomy. 2. Measure utero-ovarian ligament length if it is = / > 5cm do ligament plication. 3. In cases of torsion in pre-menarcheal girls & case of recurrent torsion do utero-ovarian ligament plication using hot dog in bun technique. 4. If Pcod is the cause of torsion then do detorsion + Pcod drilling + utero-ovarian ligament plication if it is >5cm + use medical ovarian suppression for 6 month. Aim of study To find out age incidence for adnexal torsion cases and to compare it with other similar studies To analyse & compare different management modalities being used for adnexal torsion management. To analyse the side specific occurrence of adnexal torsion and to compare it with other studies. To find out & compare the incidence of Salpingo-Oophorectomy among adnexal torsion cases. To find out the correlation of size of ovarian cyst and adnexal torsion. Materials and method 44 patients who underwent laparoscopy for adnexal torsion & managed following “Dr Sachin's criteria for adnexal torsion management” were studied & followed up prospectively for a period of 7 years from 2017-2024. Variables studied were age group of patients, parity, marital status, previous surgery, correlation of ovarian cyst size and torsion, incidence of torsion in pre-menace girls and management options. Conclusion At present there are no definite guidelines for adnexal torsion management and so different available surgical options are being used by different operating surgeons worldwide &.there is no standardisation of management protocols at present so this criterion is an attempt to standardise the the management protocol & bring in the uniformity in management of adnexal torsion cases so these patients can be benefitted worldwide.