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Ovarian residual syndrome
I Bukovsky1, Y Liftshitz, R Langer
1Department of Obstetrics and Gynecology, Assaf Harofe Medical Centre, Tel-Aviv University, Zerifin, Israel.
Surgery, Gynecology & Obstetrics
|August 1, 1988
Summary
Residual ovarian syndrome can cause chronic pain after hysterectomy with ovarian preservation. Surgical intervention, including adnexectomy or oophorectomy, effectively relieved symptoms in affected patients.
Area of Science:
- Gynecology
- Surgical Pathology
Background:
- Hysterectomy with ovarian preservation is a common procedure.
- Residual ovarian syndrome is a rare but debilitating complication.
- Chronic lower abdominal pain and dyspareunia can significantly impact quality of life.
Purpose of the Study:
- To evaluate the incidence and management of residual ovarian syndrome.
- To report on surgical outcomes for patients experiencing chronic pelvic pain post-hysterectomy.
Main Methods:
- Retrospective review of 329 patients undergoing hysterectomy with ovarian preservation (1979-1983).
- Evaluation of six patients presenting with chronic lower abdominal pain and dyspareunia.
- Surgical intervention including adnexectomy, oophorectomy, and ovariopexy.
Main Results:
- Residual ovarian syndrome was confirmed in all six evaluated patients.
- Symptomatic relief was achieved in four patients after adnexectomy.
- One patient experienced relief after oophorectomy, and one after ovariopexy.
Conclusions:
- Residual ovarian syndrome is a recognized complication following hysterectomy with ovarian preservation.
- Surgical management, tailored to the individual case, can effectively resolve symptoms.
- Further research into preventative strategies and optimal surgical approaches is warranted.