Bilateral partial oophorectomy in the management of severe ovarian hyperstimulation syndrome. An aggressive, but perhaps life-saving procedure.
Two case histories are described, in which protracted courses of severe ovarian hyperstimulation syndrome (OHSS) responded poorly to conservative treatment. Each patient underwent bilateral partial oophorectomy at 14 and 16 days respectively, post oocyte retrieval. Serum albumin levels returned to normal within three days of the operation in each case and the patients, one pregnant with twins, made a rapid recovery. This seemingly 'aggressive' procedure is proposed as a potentially useful treatment when faced with patients who are severely or critically affected with OHSS.
Amarin
Z O
ZO
Jordan University of Science and Technology, Irbid, Jordan. zoamarin@hotmail.com
D000328:Adult; D005260:Female; D006801:Humans; D009865:Oocytes; D016471:Ovarian Hyperstimulation Syndrome / Q000503:physiopathology* / Q000601:surgery*; D010052:Ovariectomy / Q000379:methods; D011247:Pregnancy; D011272:Pregnancy, Multiple; D012709:Serum Albumin / Q000032:analysis; D012720:Severity of Illness Index; D013997:Time Factors; D020858:Tissue and Organ Harvesting; D016896:Treatment Outcome; D014427:Twins
D012709:Serum Albumin