Kamprath S, Possover M, Schneider A
Department of Gynecology, Friedrich-Schiller-University Jena, Germany.
Fertil Steril. 1997 Oct;68(4):663-7. doi: 10.1016/s0015-0282(97)00315-4.
A retroperitoneal approach for laparoscopic treatment of ovarian remnant syndrome was developed.
Clinical study.
Department of Gynecology, Friedrich-Schiller-University Jena.
PATIENT(S): During a 29-month period, seven consecutive patients with ovarian remnant syndrome were treated by laparoscopy. Patients were not preselected and preoperative, intraoperative, and postoperative data were registered prospectively.
INTERVENTION(S): For removal of remnant ovaries we used a laparoscopic retroperitoneal approach that included complete dissection of the pelvic course of the ureter and coagulation and dissection of the infundibulopelvic ligament and of the uterine vessels.
RESULT(S): In the first patient's case, the right ureter was injured during dissection, which was initiated too far distally between ovary and external iliac vessels. Thereafter, we changed our technique to start the dissection of the ureter at the pelvic brim. No subsequent patient had an intraoperative or postoperative complication. All patients reported fewer preoperative complaints and were free of recurrence by sonographic examination.
CONCLUSION(S): Using a retroperitoneal approach laparoscopic resection of a remnant ovary may be a safe and effective technique.
开发一种腹腔镜治疗卵巢残留综合征的腹膜后入路。
临床研究。
耶拿弗里德里希-席勒大学妇科。
在29个月期间，连续7例卵巢残留综合征患者接受了腹腔镜治疗。患者未进行预先选择，术前、术中和术后数据均进行前瞻性记录。
为切除残留卵巢，我们采用了腹腔镜腹膜后入路，包括完全解剖输尿管的盆腔走行以及凝固和解剖漏斗骨盆韧带及子宫血管。
在第一例患者中，解剖时右侧输尿管受损，解剖起始位置在卵巢和髂外血管之间过远的远端。此后，我们改变了技术，在骨盆边缘开始解剖输尿管。后续患者均未出现术中或术后并发症。所有患者术前主诉均减少，超声检查无复发。
采用腹膜后入路腹腔镜切除残留卵巢可能是一种安全有效的技术。
