Abstract
Objective: To review different diagnostic and surgical procedures for ovarian remnant syndrome and suggest that complete primary resection is the only method to avoid recurrence. Data sources: Sources include original articles and reviews on various ovarian remnant surgical techniques, on comparisons of laparotomy with laparoscopy and on the employment of possible medical methods for treatment, and reviews of methods and techniques for diagnosing ovarian remnant syndrome. The technical sources dated from 1953 to the present. Methods of study selection: Studies of methods and follow up of ovarian remnant techniques currently used. Review articles including surgical and medical techniques with long-term outcomes and patient selection criteria were utilized to formulate a strategy for appropriate selection of ovarian remnant removal. Data extraction and synthesis: The methods reviewed include clinically applied surgical and medical techniques. Articles including surgical and nonsurgical treatment for "remnant removal" were utilized with a review of laparotomy and laparoscopy data. Conclusions: Complete excision of ovarian remnants via exploratory laparotomy affords patients the best option for avoiding future corrective surgery for pelvic pain from persistent ovarian remnants.
Original language | British English |
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Pages (from-to) | 111-117 |
Number of pages | 7 |
Journal | Gynaecological Endoscopy |
Volume | 10 |
Issue number | 2 |
DOIs | |
State | Published - 2001 |
Keywords
- Adhesions
- Endometriosis
- Hysterectomy
- Ovarian remnant syndrome
- Pelvic pain
- Recurrent pelvic masses