{"paper_id":"4736207a-3298-4af5-806e-57cbd5c316fd","body_text":"Abstract\nThe objective of the study is to report on patient characteristics, surgical findings, pathology, and recurrence of ovarian remnants. This is a retrospective case series completed at an academic tertiary care hospital. Seventeen patients were identified between September 2005 and December 2015 with ovarian remnant syndrome using a diagnosis code search at one institution. All patients underwent surgical excision. Pathology confirmed ovarian tissue. Three recurrences were treated non-surgically. All patients had a history of endometriosis and previous surgeries. The average number of laparotomies, laparoscopies, and cesarean sections was 1.29 (range, 0–3), 2.47 (range, 0–6), and 0.59 (range, 0–3), respectively. Ten patients (58.8 %) had a prior bilateral salpingoophorectomy. Seven patients (41.2 %) had a prior unilateral salpingoophorectomy. Five patients (29.4 %) had one prior excision; two patients (11.8 %) had two prior excisions of their ovarian remnant. Fifteen excisions were performed laparoscopically and two with planned laparotomy. There were no intraoperative complications. All cases had pathologically confirmed ovarian tissue. Three patients had recurrent disease. Treatments included medical suppression, ovarian artery embolization, and radiation. Surgical expertise, often utilizing minimally invasive techniques, allows for the dissection needed to remove ovarian remnants. Recurrence is possible. Medical or other procedural treatments may be appropriate alternatives or adjuncts to treatment.\nSimilar content being viewed by others\nReferences\nShemwell RE, Weed JC (1970) Ovarian remnant syndrome. Obstet Gynecol 36:2990303\nNezhat C, Kearney S, Malik S, Nezhat C, Nezhat F (2005) Laparoscopic management of ovarian remnant. Fertil Steril 83:973–978\nArden D, Lee T (2010) Laparoscopic excision of ovarian remnants: retrospective cohort study with long-term follow-up. J Minim Invasive Gynecol 18:194–199\nMagtibay PM, Magrina JF (2006) Ovarian remnant syndrome. Clin Obstet Gynecol 49:526–534\nWebb MJ (1989) Ovarian remnant syndrome. Aust N Z J Osbstet Gynaecol 29:433–435\nHaglund KE, Viswanathan AN (2008) Computed tomography-based radiation therapy of ovarian remnants for symptomatic persistent endometriosis. Obstet Gynecol 111(2 Pt 2):579–583\nKho RM, Abao MS (2012) Ovarian remnant syndrome: etiology, diagnosis, treatment and impact of endoemtriosis. Curr Opin Obstet Gynecol 24:210–214\nMaleux G, Stockx L, Wilms F, Marchal G (2000) Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol 11(7):859–864\nAcknowledgments\nAuthor contributions\nA Benton: project development, data collection, data analysis, and manuscript writing/editing.\nT Deimling: project development, data analysis, and manuscript writing/editing.\nM Pacis: project development and manuscript writing/editing.\nG Harkins: project development, data analysis, and manuscript writing/editing.\nAuthor information\nAuthors and Affiliations\nCorresponding author\nEthics declarations\nFunding\nThis study had no source of funding.\nConflict of interest\nThe authors declare that they have no conflict of interest.\nEthical approval\nAn approval by an ethics committee was not applicable.\nInformed consent\nInformed consent was not applicable as determined by the Penn State Hershey Institutional Review Board.\nRights and permissions\nAbout this article\nCite this article\nBenton, A., Deimling, T., Pacis, M. et al. Ovarian remnant syndrome: a retrospective evaluation of surgical management. Gynecol Surg 13, 353–357 (2016). https://doi.org/10.1007/s10397-016-0988-7\nReceived:\nAccepted:\nPublished:\nIssue date:\nDOI: https://doi.org/10.1007/s10397-016-0988-7","source_license":"CC0","license_restricted":false}