Bilateral ovarian removal during hysterectomy: what is done and what should be done

A Fignon, Fignon A, H. Marret, Marret H, J Lansac, Lansac J
European journal of obstetrics, gynecology, and reproductive biology · 1998 · vol. 76(2) , pp. 201–205 · doi:10.1016/s0301-2115(97)00170-x · PMID:9481575 · W1975210524
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This paper reviews current practices of bilateral ovarian removal during hysterectomy and discusses recommendations for future surgical approaches.

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Abstract

ObjectiveDiscussion of the indications for bilateral removal of the ovaries at hysterectomy after the age of forty.DesignA multicenter survey involving 50 university centres and regional hospitals was carried out.ResultsThe majority of French Obs-Gyn carry out bilateral removal of adnexa when the patient is over fifty years old, rather than after forty years of age.DiscussionReducing mortality due to ovarian cancer is commendable, as is the reduction of morbidity due to ovarian cysts and pathology after hysterectomy, but it is necessary to evaluate the cost of prematurely induced menopause.ConclusionThe authors believe that an age limit of forty years is too low. A consensus has emerged for performing bilateral removal of the ovaries after the age of fifty in the absence of a history of pelvic adhesions and/or endometriosis. It is necessary to explore the condition of the ovaries during the laparotomy.

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Condition tags

dyspareunia

MeSH descriptors

Hysterectomy Ovariectomy Adult Age Factors Dyspareunia Female Humans Menopause, Premature Middle Aged Ovarian Neoplasms Ovarian Neoplasms Pain Postoperative Complications

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