{"paper_id":"f9ed89f2-161c-4b36-b786-545c276326c6","body_text":"Abstract\nPersistent or recurrent endometriosis after a total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH BSO) has been reported by several investigators.1–3 Although many aspects of endometriosis are incompletely understood, the stimulation and growth of endometrial implants by cyclic ovarian steroids has been demonstrated. Therefore, removing this cyclic stimulation should permit the disease to regress. We don’t know the exact incidence of recurrent endometriosis after “definitive” surgery, but it is thought to be extremely rare following TAH BSO even when the woman takes hormone replacement therapy.4 Several investigators have published reviews with small patient numbers. In 1970, Ranney reported no recurrences when estrogen replacement was not given but a 3% recurrence rate if replacement was given.5 In the same decade, Gray reported no recurrence without hormonal replacement therapy compared with a 20% rate if estrogen therapy was initiated.6\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nSchram JD. Endometriosis after “Pelvic Cleanout.” Southern Med J 1978;71(11):1419–1420.\nDmowski WP, Radwanska E, Rana N. Recurrent endometriosis following hysterectomy and oophorectomy: the role of residual ovarian fragments. Int J Gynecol Obstet 1988;26:93–103.\nMetzger DA, Lessey BA, Soper JT, et al. Hormone-resistant endometriosis following total abdominal hysterectomy and bilateral salpingo-oophorectomy: correlation with histology and steroid receptor content. Obstet Gynecol 1001;78(5):946–950.\nPunnonen R, Klemi PJ, Nikkanen V. Postmenopausal endometriosis. 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Immuno-histochemical analysis of estrogen and progesterone receptors in endometriosis: comparison with normal endometrium during the menstrual cycle and the effect of medical therapy. Fertil Steril 1989;51(3):409–414.\nMarkham SM, Carpenter SE, Rock JA. Extrapelvic endometriosis. Obstet Gynecol Clin N Amer 1989;16(1): 193–219.\nJenkinson EL, Brown WH. Endometriosis. A study of 117 cases with special reference to constricting lesions of the rectum and sigmoid colon. JAMA 1943;122:349.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1995 Springer-Verlag New York, Inc.\nAbout this chapter\nCite this chapter\nHasty, L.A., Murphy, A.A. (1995). Management of Recurrent Endometriosis After Hysterectomy and Bilateral Salpingo-Oophorectomy. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_18\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4613-8404-5_18\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4613-8406-9\nOnline ISBN: 978-1-4613-8404-5\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}