Toaff R, Toaff M E, Peyser M R
Am J Obstet Gynecol. 1976 Jan 1;124(1):92-6. doi: 10.1016/0002-9378(76)90018-1.
Seven cases of polycystic ovarian disease were investigated by laparoscopy and endocrinologic tests after failure of ovarian resection to restore fertility. One case of bilateral and two cases of unilateral ovarian atrophy were recorded. In all seven patients the common features were extensive perivarian and peritubal adhesions. Four of the six patients amenable to cure were submitted to reconstructive surgery; three of them conceived and had normal deliveries. The present observations support the plea to relegate the surgical approach to a minor position in patients with Stein-Leventhal syndrome and stress the importance of meticulous surgical technique in the performance of ovarian surgery. Laparoscopic investigation is mandatory in all cases of unsuccessful ovarian resection.
在卵巢切除术未能恢复生育功能后，通过腹腔镜检查和内分泌测试对7例多囊卵巢疾病患者进行了调查。记录到1例双侧卵巢萎缩和2例单侧卵巢萎缩。所有7例患者的共同特征是卵巢周围和输卵管周围广泛粘连。6例可治愈的患者中有4例接受了重建手术；其中3例受孕并顺产。目前的观察结果支持将手术方法在斯坦因-莱文塔尔综合征患者中降至次要地位的主张，并强调在卵巢手术中精细手术技术的重要性。对于所有卵巢切除失败的病例，腹腔镜检查是必不可少的。
