Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome.
OBJECTIVE
To review outcomes and pathologic findings of a primarily minimally invasive approach to ovarian remnant syndrome.


METHODS
Data were abstracted from medical records documenting bilateral salpingo-oophorectomy and subsequent treatment between 1996 and 2006 for pathologically confirmed ovarian remnant tissue. Follow-up was by mailed questionnaires and telephone interviews.


METHODS
Tertiary care academic medical institution.


METHODS
Twenty patients (mean age, 48 years) receiving treatment for ovarian remnant tissue after prior bilateral salpingo-oophorectomy.


METHODS
Primarily minimally invasive approach (conventional laparoscopy and robot-assisted laparoscopy) for removal of ovarian remnant tissue.


METHODS
Postoperative complications and recurrence.


RESULTS
The 20 patients had a mean follow-up of 30 months. Indications were endometriosis in 8 and ovarian neoplasm in 6. Eighteen patients presented with pain, and 2 presented with a pelvic mass. Nineteen had laparoscopy (14 conventional; 5 robotic), and 1 had laparotomy. Remnant ovarian tissue was associated with endometriosis in 5 and corpus luteum in 3. Two patients had malignancy in remnant ovarian tissue. Postoperative complications included pneumonia (1 case). Follow-up identified no recurrence.


CONCLUSIONS
Ovarian remnant syndrome can be managed safely and successfully with minimally invasive surgery. Risk of carcinoma mandates surgical resection.
Kho
Rosanne M
RM
Department of Obstetrics and Gynecology, Mayo Clinic, Scottsdale, Arizona 85259, USA. kho.rosanne@mayo.edu
Magrina
Javier F
JF
Magtibay
Paul M
PM
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010049:Ovarian Diseases / Q000473:pathology / Q000601:surgery*; D017699:Pelvic Pain / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D013577:Syndrome; D016896:Treatment Outcome