title: Frequency and laparoscopic management of ovarian remnant syndrome.
abstract: OBJECTIVE
  To report the frequency and outcome of laparoscopy in women with chronic pelvic pain and/or pelvic mass who were found to have ovarian remnants.
  
  
  METHODS
  Cohort study. (Canadian Task Force classification II-2).
  
  
  METHODS
  University-affiliated hospital.
  
  
  METHODS
  One hundred nineteen women who had had hysterectomy and oophorectomy.
  
  
  METHODS
  Laparoscopic surgery.
  
  
  RESULTS
  Ovarian remnants were known in 5 and were found intraoperatively in 21 patients (18%). These 26 women had undergone at least one laparoscopy in an attempt to remove the remnants. After the ureter was identified, ovarian remnants were dissected and removed from the retroperitoneum laparoscopically with minimal risk of vessel or visceral injury. There were no intraoperative or postoperative complications and no conversions to laparotomy. In addition to ovarian remnants, adhesions were found in 19 women, endometriosis in 4, and no other pathology in 3. Twenty women had complete relief of symptoms. At follow-up of 1 to 8 years (mean 5 yrs), six underwent repeat laparoscopy for persistent pain; one had recurrent ovarian remnant.
  
  
  CONCLUSIONS
  Ovarian remnant syndrome is not an infrequent complication after hysterectomy and oophorectomy in women with endometriosis.
authors.affiliation: Department of Obstetrics and Gynecology, University of Western Ontario, London, Ontario N6A 4V2, Canada.
authors.forename: Basim
authors.initials: B
authors.lastname: Abu-Rafeh
authors.forename: George A
authors.initials: GA
authors.lastname: Vilos
authors.forename: Millie
authors.initials: M
authors.lastname: Misra
mesh_terms: D000328:Adult; D015331:Cohort Studies; D004715:Endometriosis / Q000175:diagnosis / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D010049:Ovarian Diseases / Q000209:etiology* / Q000601:surgery*; D010052:Ovariectomy / Q000009:adverse effects* / Q000379:methods; D010147:Pain Measurement; D017699:Pelvic Pain / Q000209:etiology / Q000601:surgery*; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D013577:Syndrome; D016896:Treatment Outcome