Abstract
Video Objective Dissection techniques for removal of ovarian remnant. Setting Patients with persistent ovarian tissue and persistent pelvic pain after Oophorectomy. Interventions Excision of persistent ovarian tissue. Conclusion Ovarian remnant is a challenging problem as it is seen in patient whose primary surgery was complicated due to excessive adhesions or severe endometriosis. If the initial dissection was incomplete, a portion of ovarian tissue may remain adhered and continue to cause pelvic pain. This surgery requires dissection of pelvic side wall where remnant is most commonly isolated. Complete ureterolysis, separation of sigmoid colon from pelvic side wall and vagina, isolation of round ligament, IP ligament and uterine artery are the key steps while excising the ovarian residual tissue. This video demonstrates these key steps of dissection. Such patients will often be referred to a minimally invasive gynecologic surgeon who are trained in dissection of pelvic side wall with knowledge of retroperitoneal anatomy and can safely perform this complex dissection.
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