Salpingo-Oophorectomy in Women with Previous Hysterectomy

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.