Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome

Kho RM, Rosanne M. Kho, Javier F. Magrina, Magrina JF, Magtibay PM, Paul M. Magtibay
Fertility and sterility · 2007 · vol. 87(5) , pp. 1005–1009 · doi:10.1016/j.fertnstert.2006.12.075 · PMID:17478171 · W2077690320
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This study describes the pathologic findings and outcomes of a minimally invasive surgical approach used to treat ovarian remnant syndrome.

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Abstract

ObjectiveTo review outcomes and pathologic findings of a primarily minimally invasive approach to ovarian remnant syndrome.DesignData were abstracted from medical records documenting bilateral salpingo-oophorectomy and subsequent treatment between 1996 and 2006 for pathologically confirmed ovarian remnant tissue. Follow-up was by mailed questionnaires and telephone interviews.SettingTertiary care academic medical institution.Patient(s)Twenty patients (mean age, 48 years) receiving treatment for ovarian remnant tissue after prior bilateral salpingo-oophorectomy.Intervention(s)Primarily minimally invasive approach (conventional laparoscopy and robot-assisted laparoscopy) for removal of ovarian remnant tissue.Main outcome measure(s)Postoperative complications and recurrence.Result(s)The 20 patients had a mean follow-up of 30 months. Indications were endometriosis in 8 and ovarian neoplasm in 6. Eighteen patients presented with pain, and 2 presented with a pelvic mass. Nineteen had laparoscopy (14 conventional; 5 robotic), and 1 had laparotomy. Remnant ovarian tissue was associated with endometriosis in 5 and corpus luteum in 3. Two patients had malignancy in remnant ovarian tissue. Postoperative complications included pneumonia (1 case). Follow-up identified no recurrence.Conclusion(s)Ovarian remnant syndrome can be managed safely and successfully with minimally invasive surgery. Risk of carcinoma mandates surgical resection.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Gynecologic Surgical Procedures Minimally Invasive Surgical Procedures Ovarian Diseases Adult Aged Female Follow-Up Studies Gynecologic Surgical Procedures Humans Middle Aged Minimally Invasive Surgical Procedures Ovarian Diseases Ovarian Diseases Pelvic Pain Pelvic Pain Pelvic Pain Retrospective Studies Syndrome Treatment Outcome

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