Objective: This study was undertaken to examine surgical management of patients with ovarian remnant syndrome. Study design: Data were abstracted from records of patients with a history of bilateral salpingo-oophorect...Objective: This study was undertaken to examine surgical management of patients with ovarian remnant syndrome. Study design: Data were abstracted from records of patients with a history of bilateral salpingo-oophorectomy who were treated surgically at Mayo Clinic between 1985 and 2003 for pathologically confirmed residual ovarian tissue. A follow-up questionnaire was also mailed. Results: Records review identified 186 patients (mean age, 37.6 years; mean follow-up, 1.2 years). Of 180 patients with available data, 153 (85% ) underwent oophorectomy by laparotomy, 13 (7% ) by laparoscopy, and 14 (8% ) by transvaginal approach, mostly for endometriosis (56.8% ). Of 186 patients, 105 (57% ) presented with pelvic masses and 89 (48% ) with pelvic pain. Remnant ovarian tissue was associated with a corpus luteum in 78 (42% ) and endometriosis in 54 (29% ). The intraoperative complication rate was 9.6% . Of 142 patients, 12 (9% ) required subsequent re-exploration (1 ovarian remnant identified). Conclusion: This heavily pretreated population has modest risk of bowel, bladder, or ureteral trauma with definitive pelvic sidewall stripping and apical vaginal excision. However, subsequent recurrence is minimal ( < 1% ). More than 90% of patients reported resolution or marked improvement of symptoms.展开更多
Ovarian remnant syndrome occurs after bilateral oophorectomy when functioning ovarian tissue is left behind. It usually presents with pelvic pain and a palpable mass. The incidence of ovarian remnant syndrome is unkno...Ovarian remnant syndrome occurs after bilateral oophorectomy when functioning ovarian tissue is left behind. It usually presents with pelvic pain and a palpable mass. The incidence of ovarian remnant syndrome is unknown. However, the condition is probably more prevalent than is generally appreciated. We report on a 37-year-old patient with ectopic manifestation of lost ovarian tissue in the abdomen following bilateral laparoscopic oophorectomy. This ovarian remnant located between the bladder and the greater omentum showed hormone activity and caused severe abdominal pain. Following laparotomy and complete resection of the remnant the patient was without symptoms. We conclude that lost ovarian tissue should in all cases be searched for and completely removed during the primary operation.展开更多
文摘Objective: This study was undertaken to examine surgical management of patients with ovarian remnant syndrome. Study design: Data were abstracted from records of patients with a history of bilateral salpingo-oophorectomy who were treated surgically at Mayo Clinic between 1985 and 2003 for pathologically confirmed residual ovarian tissue. A follow-up questionnaire was also mailed. Results: Records review identified 186 patients (mean age, 37.6 years; mean follow-up, 1.2 years). Of 180 patients with available data, 153 (85% ) underwent oophorectomy by laparotomy, 13 (7% ) by laparoscopy, and 14 (8% ) by transvaginal approach, mostly for endometriosis (56.8% ). Of 186 patients, 105 (57% ) presented with pelvic masses and 89 (48% ) with pelvic pain. Remnant ovarian tissue was associated with a corpus luteum in 78 (42% ) and endometriosis in 54 (29% ). The intraoperative complication rate was 9.6% . Of 142 patients, 12 (9% ) required subsequent re-exploration (1 ovarian remnant identified). Conclusion: This heavily pretreated population has modest risk of bowel, bladder, or ureteral trauma with definitive pelvic sidewall stripping and apical vaginal excision. However, subsequent recurrence is minimal ( < 1% ). More than 90% of patients reported resolution or marked improvement of symptoms.
文摘Ovarian remnant syndrome occurs after bilateral oophorectomy when functioning ovarian tissue is left behind. It usually presents with pelvic pain and a palpable mass. The incidence of ovarian remnant syndrome is unknown. However, the condition is probably more prevalent than is generally appreciated. We report on a 37-year-old patient with ectopic manifestation of lost ovarian tissue in the abdomen following bilateral laparoscopic oophorectomy. This ovarian remnant located between the bladder and the greater omentum showed hormone activity and caused severe abdominal pain. Following laparotomy and complete resection of the remnant the patient was without symptoms. We conclude that lost ovarian tissue should in all cases be searched for and completely removed during the primary operation.
