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Updated: May 26, 2026

Surgical Techniques to Optimize Ovarian Reserve during Laparoscopic Cystectomy for Ovarian Endometrioma
Published on: January 22, 2022
Outcomes of small bowel obstruction in patients with previous gynecologic malignancies
Tamar L Mirensky1, Kevin M Schuster, Unzila A Ali
1Department of Surgery, Yale University School of Medicine, Office of Surgical Education, New Haven, CT 06520-8062, USA. tamar.mirensky@yale.edu
Background:
Features predictive of malignant small bowel obstructions among patients with previous gynecologic malignancies remain undetermined.
Methods:
Predictors of malignancy and mortality among patients with gynecologic malignancies and bowel obstructions were identified through a retrospective review of records.
Results:
Malignancy was noted among 69.8% of 189 patients included in the analysis. Advanced-stage cancer (P = .006, odds ratio [OR] = 6.62), ovarian malignancy (P = .001, OR = 25.64), and early-onset obstruction (P = .014) predicted malignant etiology, whereas chemotherapy (P < .001, OR = .02) or radiation therapy (P = .027, OR = .09) predicted benign obstruction. The average survival was 9 months versus 49 months for malignant and benign obstructions, respectively. Ovarian cancer (P = .009, hazard ratio [HR] = 4.45), anemia (P = .001, HR = 1.11), and renal dysfunction (P < .001, HR 1.81) impaired survival.
Conclusions:
Palliative care should be considered for patients with advanced-stage cancer, ovarian malignancy, and a shorter time interval between cancer diagnosis and bowel obstruction, especially in the setting of anemia and renal dysfunction.
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