['To determine the safety and outcome of laparoscopic detorsion in the management of the twisted ischemic, hemorrhagic adnexa.', 'Retrospective chart review and prospective follow-up (Canadian Task Force classification II-2).', 'University-affiliated hospital.', 'Fifty-eight women with twisted black-bluish ischemic adnexa encountered at laparoscopy.', 'Laparoscopic detorsion with adnexal sparing.', 'All patients had a benign immediate postoperative course. Transient temperature elevation occurred in seven women (12.1%). No signs of pelvic or systemic thromboembolism were detected in any patient. Long-term follow-up included transvaginal ultrasound, which revealed follicular development in the previously twisted adnexa in 54 women; normal macroscopic appearance at incidental subsequent surgery in 9; and in vitro fertilization with retrieval of oocytes from the previously twisted side in 4.'] Does laparoscopic detorsion allow sparing of the twisted ischemic adnexa?