Pathologic findings and outcomes of a minimally invasive approach to ovarian remnant syndrome

The Efficacy of Laparoscopic Surgical Treatment of Ovarian Remnant and Ovarian Retention Syndromes

“…Previously published studies regarding surgical treatment of both syndromes focus on the surgical technique itself including the route of surgery (laparotomy vs laparoscopy), details of the surgical technique for safe and complete oophorectomy, and complications [1][2][3][4]. Although some published series mention that patients have improvement of pain symptoms after surgery, details of patient outcomes in terms of CPP have not been well described [5,6].…”

Management of Chronic Pelvic Pain

“…Bowel and urological injuries are not uncommon, and sometimes injury and repair of these structures is necessary to ensure complete removal. However, there is an increasing number of reports of successful removal by skilled laparoscopic surgeons [38,39].…”

“…Common findings in histology include normal ovarian tissue, corpus lutea, and endometriosis. Unfortunately, ovarian malignancies, including mucinous cystadenocarcinoma and endometrioid adenocarcinoma, have been documented as well [39]. This risk, although small, is important to keep in mind when considering nonsurgical management.…”

Laparoscopic Excision of Ovarian Remnants: Retrospective Cohort Study with Long-term Follow-up

“…Medical management of ovarian remnant syndrome can be attempted with agents such as gonadotropin-releasing hormone agonists and oral contraceptive pills; however, many patients do not respond to these therapies. Clinicians must also consider the potential risk of malignancy associated with any pelvic mass, especially in postmenopausal women, which makes surgical excision the criterion standard for definitive treatment of ovarian remnant syndrome [6]. Excision of ovarian remnants is often surgically challenging because of their association with endometriosis, multiple previous abdominal surgeries, and pelvic adhesive disease [3].…”