Ovarian function, reproduction, and later operations following adnexal surgery.
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.
D000290:Adnexa Uteri / Q000601:surgery*; D000291:Adnexal Diseases / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D003537:Cystadenoma / Q000601:surgery; D003884:Dermoid Cyst / Q000601:surgery; D004715:Endometriosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005734:Gangrene; D006801:Humans; D010048:Ovarian Cysts / Q000601:surgery; D010051:Ovarian Neoplasms / Q000601:surgery; D010053:Ovary / Q000502:physiology; D000292:Pelvic Inflammatory Disease / Q000601:surgery; D011085:Polycystic Ovary Syndrome / Q000601:surgery; D011183:Postoperative Complications; D011247:Pregnancy; D011248:Pregnancy Complications; D011274:Pregnancy, Tubal / Q000601:surgery; D014102:Torsion Abnormality