Nezhat F, Nezhat C
Department of Obstetrics and Gynecology, Mercer University School of Medicine, Macon, Georgia.
Fertil Steril. 1992 May;57(5):1003-7. doi: 10.1016/s0015-0282(16)55016-x.
To present the technique and assess the efficacy of operative laparoscopy to manage ovarian remnant syndrome.
Observational with a follow-up of 6 to 32 months.
Private subspecialty practice with a large referral base.
Thirteen women, 9 with previous bilateral salpingo-oophorectomy and 4 with previous unilateral salpingo-oophorectomy and pain on the ipsilateral side.
Multipuncture advanced operative laparoscopy.
Patient pain relief was assessed through return examinations, telephone interviews, or contact with referring physicians.
Nine patients reported complete pain relief. One reported incomplete but satisfactory pain relief. Two required bowel resection by laparotomy to obtain pain relief, and one, despite subsequent laparotomy, had persistent pain. No intraoperative or postoperative complications were noted.
Laparoscopy can be effective in managing ovarian remnant syndrome when performed by an experienced laparoscopist.
介绍手术腹腔镜治疗卵巢残留综合征的技术并评估其疗效。
观察性研究，随访6至32个月。
拥有大量转诊病例的私立专科诊所。
13名女性，9名曾接受双侧输卵管卵巢切除术，4名曾接受单侧输卵管卵巢切除术且同侧疼痛。
多点穿刺高级手术腹腔镜检查。
通过复诊、电话访谈或与转诊医生联系评估患者疼痛缓解情况。
9名患者报告疼痛完全缓解。1名报告疼痛缓解不完全但满意。2名需要开腹进行肠切除以缓解疼痛，1名尽管随后进行了开腹手术仍有持续性疼痛。未观察到术中或术后并发症。
由经验丰富的腹腔镜医生进行操作时，腹腔镜检查对治疗卵巢残留综合征可能有效。
