Salpingo-Oophorectomy in Women with Previous Hysterectomy

Enrique Hernández, Neil B. Rosenshein
In: J Natl Med Assoc · 1983 · vol. 75(1) , pp. 106 · W2472572449
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This paper describes a simple and safe surgical approach for salpingo-oophorectomy in women with previous hysterectomy by retroperitoneally identifying the infundibulopelvic ligament and ureter.

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This study addresses the surgical challenges associated with removing residual ovaries in women who have previously undergone a hysterectomy but retained their fallopian tubes and ovaries. The authors describe a retroperitoneal approach that involves identifying and isolating the infundibulopelvic ligament and ureter to facilitate safe removal of adnexal pathology amidst anatomic distortion and adhesions. They conclude that this specific technique offers a simple and safe method for managing these complex cases. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

Laparotomy for suspected adnexal pathology is performed in approximately 3 percent of women who have had hysterectomy without salpingo-oophorectomy. The removal of these ovaries is often a difficult surgical procedure because of anatomic distortion and adhesions. The retroperitoneal identification and isolation of the infundibulopelvic ligament and ureter, as described here, is a simple and safe way of approaching these cases.
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Abstract Laparotomy for suspected adnexal pathology is performed in approximately 3 percent of women who have had hysterectomy without salpingo-oophorectomy. The removal of these ovaries is often a difficult surgical procedure because of anatomic distortion and adhesions. The retroperitoneal identification and isolation of the infundibulopelvic ligament and ureter, as described here, is a simple and safe way of approaching these cases. Full text PDFSelected References These references are in PubMed. This may not be the complete list of references from this article. - Christ J. E., Lotze E. C. The residual ovary syndrome. Obstet Gynecol. 1975 Nov;46(5):551–556. [PubMed] [Google Scholar]

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