Operative laparoscopy for the treatment of ovarian remnant syndrome.
OBJECTIVE
To present the technique and assess the efficacy of operative laparoscopy to manage ovarian remnant syndrome.


METHODS
Observational with a follow-up of 6 to 32 months.


METHODS
Private subspecialty practice with a large referral base.


METHODS
Thirteen women, 9 with previous bilateral salpingo-oophorectomy and 4 with previous unilateral salpingo-oophorectomy and pain on the ipsilateral side.


METHODS
Multipuncture advanced operative laparoscopy.


METHODS
Patient pain relief was assessed through return examinations, telephone interviews, or contact with referring physicians.


RESULTS
Nine patients reported complete pain relief. One reported incomplete but satisfactory pain relief. Two required bowel resection by laparotomy to obtain pain relief, and one, despite subsequent laparotomy, had persistent pain. No intraoperative or postoperative complications were noted.


CONCLUSIONS
Laparoscopy can be effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist.
Nezhat
F
F
Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon, Georgia.
Nezhat
C
C
D000328:Adult; D005187:Fallopian Tubes / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D010049:Ovarian Diseases / Q000150:complications / Q000601:surgery*; D010052:Ovariectomy; D010166:Palliative Care; D010388:Pelvis; D011183:Postoperative Complications; D013577:Syndrome; D000267:Tissue Adhesions / Q000150:complications