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Surgery for ovarian remnant syndrome. Lessons learned from difficult cases
T E Elkins1, R J Stocker, D Key
1Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor.
The Journal of Reproductive Medicine
|June 1, 1994
Summary
Ovarian remnant syndrome surgery can lead to ureteral and bowel injuries. Careful preoperative, intraoperative, and postoperative management can minimize these surgical complications.
Area of Science:
- Gynecology
- Urology
- Surgical Oncology
Background:
- Ovarian remnant syndrome presents unique surgical challenges.
- Joint management by gynecology and urology is often required.
- Surgical complications are a significant concern.
Purpose of the Study:
- To present ten cases of ovarian remnant syndrome.
- To analyze complications associated with surgical management.
- To highlight strategies for complication reduction.
Main Methods:
- Retrospective review of ten cases.
- Joint management by gynecology and urology.
- Analysis of surgical outcomes and complications.
Main Results:
- High incidence of ureteral and bowel injury observed.
- One case of ovarian cancer was identified.
- Preoperative, intraoperative, and postoperative factors influenced outcomes.
Conclusions:
- Multidisciplinary management is crucial for ovarian remnant syndrome.
- Proactive surgical planning can mitigate risks.
- Adherence to comprehensive perioperative protocols is essential for patient safety.