Ovarian function, reproduction, and later operations following adnexal surgery

B Ranney, Ranney B, Chastain D, D Chastain
Obstetrics and gynecology · 1978 · doi:10.1097/00006250-197805000-00002 · PMID:652198
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

Major adnexal operations preserving reproductive potential in 223 women resulted in a 53.69% live birth rate, retained ovarian function in most patients, and a low rate of subsequent pelvic operations.

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This retrospective study evaluated ovarian function, reproductive outcomes, and the need for subsequent surgeries in 223 patients who underwent adnexal surgery with preserved reproductive potential. Among these individuals, more than half achieved viable pregnancies, and the majority retained physiological evidence of ovarian hormonal function over an average follow-up period of eleven years. The authors noted that only a small fraction of patients required later pelvic operations for conditions potentially related to the initial surgery, such as repeat ectopic pregnancies or cystadenomas. This paper is centrally about endometriosis — specifically laparoscopic excision of deep infiltrating lesions.

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Abstract

Among 3102 patients who had major gynecologic operations, only 223 (7.18%) needed adnexal operations during which reproductive potential was preserved. Operations involved ovaries (156), tubes (55), and embryologic cysts (32). After recovery 53.69% of these patients had viable babies (64.46% of patients under age 30). Patients were examined up to 28 years after operations, an average 11.32 years. When last examined. most patients still retained physiologic evidence of ovarian hormonal function; 20 patients had passed through spontaneous menopause, at an average age of 49.4 years. Fifty-two patients needed subsequent pelvic operations, but only 7 for possibly related conditions (4 repeat tubal pregnancies and 3 cyst-adenomas). All but one twisted adnexal mass, with gangrene, originated as a paramesonephric duct cyst. Seventeen adnexal operations were associated with pregnancy: 15 mothers had healthy babies, and 2 aborted. Details concerning numbers and characteristics of specific lesions are included in the paper.
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Ovarian Function, Reproduction, and Later Operations Following Adnexal Surgery - BROOKS RANNEY - DAVID CHASTAIN Among 3102 patients who had major gynecologic operations, only 223 (7.18%) needed adnexal operations during which reproductive potential was preserved. Operations involved ovaries (156), tubes (55), and embryologic cysts (32). After recovery 53.69% of these patients had viable babies (64.46% of patients under age 30). Patients were examined up to 28 years after operations, an average 11.32 years. When last examined. most patients still retained physiologic evidence of ovarian hormonal function; 20 patients had passed through spontaneous menopause, at an average age of 49.4 years. Fifty-two patients needed subsequent pelvic operations, but only 7 for possibly related conditions (4 repeat tubal pregnancies and 3 cystadenomas). All but one twisted adnexal mass, with gangrene, originated as a paramesonephric duct cyst. Seventeen adnexal operations were associated with pregnancy: 15 mothers had healthy babies, and 2 aborted. Details concerning numbers and characteristics of specific lesions are included in the paper.

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Condition tags

endometriosis

MeSH descriptors

Adnexal Diseases Adnexa Uteri Adnexal Diseases Adnexa Uteri Adolescent Adult Cystadenoma Cystadenoma Dermoid Cyst Dermoid Cyst Endometriosis Endometriosis Female Follow-Up Studies Gangrene Humans Ovarian Cysts Ovarian Cysts Ovarian Neoplasms Ovarian Neoplasms

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europepmc
last seen: 2026-09-13T09:25:22.628771+00:00
pubmed
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