title: [Celioscopic ovariectomy. Retrospective study of 56 ovariectomies].
abstract: OBJECTIVE
  To describe a technique of laparoscopic oophorectomy, and evaluate its feasibility, limits and complications.
  
  
  METHODS
  We performed a retrospective study of 34 patients who underwent laparoscopic oophorectomy, from 1 December 1992 to 28 February 1995.
  
  
  METHODS
  Centre Hospitalier Intercommunal, Créteil, and Institut Gustave Roussy, Villejuif.
  
  
  METHODS
  Mean age was 58 years (range: 42 to 74 years). In post-menopausal patients with ovarian cyst, a systematic oophorectomy was performed (33 patients). Among post-menopausal women, a systematic contro-lateral oophorectomy was done in 77% of cases. Castration was preconized in one woman with previous breast carcinoma.
  Removal of the ovary was performed by dessication and division of the utero-ovarian junction and of the mesovarium.
  
  
  RESULTS
  Among the 34 women, 32 (94%) had an exclusive laparoscopic procedure, 2 had laparo-conversion. The reasons of laparo-conversion were the presence of adhesions in one case and presumption of ovarian malignancy (Border-line ovarian tumor) in the other case. For the 32 women with laparoscopic treatment, 22 (65%) had bilateral oophorectomy. Per-operative complication rate was 6.2% (an epigastric vessel injury in one case and an hemorrhage during laparoscopic adhesiolysis in an other case). The post-operative time was uneventful.
  
  
  CONCLUSIONS
  This technique of laparoscopic oophorectomy is simple, rapid and has a low rate of per and post-operative complications. In addition, this technique has the advantage to prevent the risk of ureteral injury.
authors.affiliation: Service de Gynécologie-Obstétrique, Centre Hospitalier Intercommunal de Créteil.
authors.forename: E
authors.initials: E
authors.lastname: Meneux
authors.forename: M
authors.initials: M
authors.lastname: Mouly
authors.forename: B
authors.initials: B
authors.lastname: Haddad
authors.forename: N
authors.initials: N
authors.lastname: Pernin
authors.forename: G
authors.initials: G
authors.lastname: Michel
authors.forename: B J
authors.initials: BJ
authors.lastname: Paniel
mesh_terms: D000328:Adult; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D020706:Laparoscopes; D008875:Middle Aged; D010052:Ovariectomy / Q000295:instrumentation*; D011183:Postoperative Complications / Q000209:etiology; D012189:Retrospective Studies; D013525:Surgical Instruments; D016896:Treatment Outcome