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. 2005 Dec;193(6):2062-6.
doi: 10.1016/j.ajog.2005.07.067.

Ovarian remnant syndrome

Paul M Magtibay  1 , Jessica L Nyholm, Jose L Hernandez, Karl C Podratz
Affiliations

Ovarian remnant syndrome

Paul M Magtibay et al. Am J Obstet Gynecol. 2005 Dec.

Abstract

Objective: This study was undertaken to examine surgical management of patients with ovarian remnant syndrome.

Study design: Data were abstracted from records of patients with a history of bilateral salpingo-oophorectomy who were treated surgically at Mayo Clinic between 1985 and 2003 for pathologically confirmed residual ovarian tissue. A follow-up questionnaire was also mailed.

Results: Records review identified 186 patients (mean age, 37.6 years; mean follow-up, 1.2 years). Of 180 patients with available data, 153 (85%) underwent oophorectomy by laparotomy, 13 (7%) by laparoscopy, and 14 (8%) by transvaginal approach, mostly for endometriosis (56.8%). Of 186 patients, 105 (57%) presented with pelvic masses and 89 (48%) with pelvic pain. Remnant ovarian tissue was associated with a corpus luteum in 78 (42%) and endometriosis in 54 (29%). The intraoperative complication rate was 9.6%. Of 142 patients, 12 (9%) required subsequent re-exploration (1 ovarian remnant identified).

Conclusion: This heavily pretreated population has modest risk of bowel, bladder, or ureteral trauma with definitive pelvic sidewall stripping and apical vaginal excision. However, subsequent recurrence is minimal (<1%). More than 90% of patients reported resolution or marked improvement of symptoms.

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