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69). LOS was shorter in the gynecology cohort (median 1day [1-2] vs. 2days [2-3], p  0.001). Adnexal torsion is a time-sensitive diagnosis requiring prompt intervention for ovarian or fallopian tube preservation. A multidisciplinary institutional care pathway should be developed and implemented. Adnexal torsion is a time-sensitive diagnosis requiring prompt intervention for ovarian or fallopian tube preservation. A multidisciplinary institutional care pathway should be developed and implemented.A theory of vibrational excitations ba