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

Rosanne M. Kho, Javier F. Magrina, Paul Magtibay

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: To review outcomes and pathologic findings of a primarily minimally invasive approach to ovarian remnant syndrome. Design: Data 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. Setting: Tertiary 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.

Original languageEnglish (US)
Pages (from-to)1005-1009
Number of pages5
JournalFertility and Sterility
Volume87
Issue number5
DOIs
StatePublished - May 2007

Fingerprint

Laparoscopy
Ovariectomy
Endometriosis
Recurrence
Minimally Invasive Surgical Procedures
Corpus Luteum
Robotics
Tertiary Healthcare
Ovarian Neoplasms
Laparotomy
Medical Records
Pneumonia
Outcome Assessment (Health Care)
Interviews
Carcinoma
Pain
Therapeutics
Neoplasms
Surveys and Questionnaires

Keywords

  • Laparoscopy
  • malignancy
  • minimally invasive surgery
  • ovarian remnant syndrome
  • robot-assisted surgery
  • surgery

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome. / Kho, Rosanne M.; Magrina, Javier F.; Magtibay, Paul.

In: Fertility and Sterility, Vol. 87, No. 5, 05.2007, p. 1005-1009.

Research output: Contribution to journalArticle

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