| The latter group includes radically modified animals, the Opisthobranchia and Pulmonata, which undergo detorsion and essentially re-evolve bilateral symmetry. |
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| The bodies of most members of this group show evidence of detorsion. |
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| Other surgical procedures which may be considered include salpingostomy, salpingopexy and detorsion. |
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| In more-advanced gastropods there are secondary modifications to a more nearly bilateral state, and in many groups there has been detorsion. |
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| Slight ischaemia: the adnexa is a normal colour from the start or within the first few minutes after detorsion. |
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| There are two steps in the operation, detorsion and treatment of the aetiology. |
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| A review of the literature shows that this complication, described at the beginning of the 20th century after a very late diagnosis is no more frequent after detorsion than after adnexectomy. |
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| Thus classically there is decreased color and Doppler flow to the ovary, but with detorsion, this pattern is reversed. |
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| After completion of the 4-hour detorsion period, bilateral orchiectomies were performed. |
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| The testis can also undergo spontaneous detorsion and ischemia may be secondary to other conditions. |
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| The detorsion was difficult because of the severe adhesions that had already formed between the adnexa and the neighbouring organs. there had been no recovery of the tube at all, which had led to salpingectomy. |
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| Damage to the ovary due to reduced blood supply can be limited by early diagnosis and immediate detorsion. |
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| After detorsion of the limb, the wound had only moderate hemorrhage, which indicated vascular compromise. |
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| If the bowel is viable, detorsion is recommended, followed by elective bowel resection. |
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