Rana N, Rotman C, Hasson H M, Redwine D B, Dmowski W P
Grant Hospital, 550 West Webster, Chicago, IL 60614, USA.
J Am Assoc Gynecol Laparosc. 1996 May;3(3):423-6. doi: 10.1016/s1074-3804(96)80075-2.
Ovarian remnant syndrome is a rare complication of total abdominal hysterectomy and bilateral salpingo-oophorectomy (BSO). Ovarian enlargement and dense periovarian adhesions are the predisposing factors. Recurrent ovarian remnant syndrome was associated with recurrence of symptomatic endometriosis in a woman who underwent laparoscopic supracervical hysterectomy and BSO for severe endometriosis and extensive pelvic adhesions. After primary surgery she required five additional procedures for complete resection of all ovarian remnants. Definitive surgery for advanced endometriosis with extensive periovarian adhesions may be complicated by ovarian remnant syndrome and reactivation of the disease. Careful retroperitoneal resection of all ovarian tissue is of paramount importance in preventing the syndrome. This, however, may be a limitation of laparoscopic surgery. The choice between laparoscopy and laparotomy in such cases should be individualized and based on the degree of surgical difficulty and the surgeon's level of experience.
卵巢残留综合征是全腹子宫切除术和双侧输卵管卵巢切除术（BSO）的一种罕见并发症。卵巢增大和卵巢周围致密粘连是诱发因素。一名因严重子宫内膜异位症和广泛盆腔粘连接受腹腔镜次全子宫切除术和BSO的女性，复发性卵巢残留综合征与症状性子宫内膜异位症的复发有关。初次手术后，她又进行了五次手术以完全切除所有卵巢残留组织。对于伴有广泛卵巢周围粘连的晚期子宫内膜异位症，确定性手术可能会因卵巢残留综合征和疾病复发而变得复杂。仔细地在腹膜后切除所有卵巢组织对于预防该综合征至关重要。然而，这可能是腹腔镜手术的一个局限。在这种情况下，腹腔镜手术和开腹手术之间的选择应个体化，并基于手术难度和外科医生的经验水平。
