Outcomes of robotic management of patients with ovarian remnant syndrome

Abstract

ObjectiveTo report outcomes of robotic management of patients with ovarian remnant syndrome.DesignRetrospective chart review.Materials and Methods5 patient who underwent robotic treatment for ovarian remnant between 03/2009 and 03/2011 in tertiary care center, were included in this study.Results5 patients ages 36 to 62, had robotic surgery was performed to remove ovarian remnants. Indications for surgery was pelvic pain. Past History remarkable for endometriosis, myoma and adhesions .Surgical history was significant for LAVH(No. 1), TAH(No.4), also, cholecystectomy, appendectomy, BSO, treatment of endometriosis and cesarean section . All remnants were identified in patients who had oophorectomy by laparatomy.Intraoperative findings included ovarian adhesion to at least one of the following: ureter, bowel, and pelvic side wall ,uterosacral ligament, vaginal cuff and bladder . One patient required intentional cystotomy for complete exision of the mass from the bladder. Blood loss ranged form 20-100ml. Pathology confirmed ovarian tissue in 3 and tubal remnant in 1 and simple cyst in another one .No intraoperative complications.There were no conversions to laparatomy. Minor post operative complication was urinary tract infection (No.1).No major postoperative complication. Duration of follow up is between 2-24 months and all the patients have been pain free and no evidence of recurrence.ConclusionRobotic excision of ovarian remnant is feasible with acceptable outcome. Its 3 –D magnification, enhanced articulation and fine movements may facilitate dissection in the confined space. ObjectiveTo report outcomes of robotic management of patients with ovarian remnant syndrome. To report outcomes of robotic management of patients with ovarian remnant syndrome. DesignRetrospective chart review. Retrospective chart review. Materials and Methods5 patient who underwent robotic treatment for ovarian remnant between 03/2009 and 03/2011 in tertiary care center, were included in this study. 5 patient who underwent robotic treatment for ovarian remnant between 03/2009 and 03/2011 in tertiary care center, were included in this study. Results5 patients ages 36 to 62, had robotic surgery was performed to remove ovarian remnants. Indications for surgery was pelvic pain. Past History remarkable for endometriosis, myoma and adhesions .Surgical history was significant for LAVH(No. 1), TAH(No.4), also, cholecystectomy, appendectomy, BSO, treatment of endometriosis and cesarean section . All remnants were identified in patients who had oophorectomy by laparatomy.Intraoperative findings included ovarian adhesion to at least one of the following: ureter, bowel, and pelvic side wall ,uterosacral ligament, vaginal cuff and bladder . One patient required intentional cystotomy for complete exision of the mass from the bladder. Blood loss ranged form 20-100ml. Pathology confirmed ovarian tissue in 3 and tubal remnant in 1 and simple cyst in another one .No intraoperative complications.There were no conversions to laparatomy. Minor post operative complication was urinary tract infection (No.1).No major postoperative complication. Duration of follow up is between 2-24 months and all the patients have been pain free and no evidence of recurrence. 5 patients ages 36 to 62, had robotic surgery was performed to remove ovarian remnants. Indications for surgery was pelvic pain. Past History remarkable for endometriosis, myoma and adhesions .Surgical history was significant for LAVH(No. 1), TAH(No.4), also, cholecystectomy, appendectomy, BSO, treatment of endometriosis and cesarean section . All remnants were identified in patients who had oophorectomy by laparatomy. Intraoperative findings included ovarian adhesion to at least one of the following: ureter, bowel, and pelvic side wall ,uterosacral ligament, vaginal cuff and bladder . One patient required intentional cystotomy for complete exision of the mass from the bladder. Blood loss ranged form 20-100ml. Pathology confirmed ovarian tissue in 3 and tubal remnant in 1 and simple cyst in another one .No intraoperative complications.There were no conversions to laparatomy. Minor post operative complication was urinary tract infection (No.1).No major postoperative complication. Duration of follow up is between 2-24 months and all the patients have been pain free and no evidence of recurrence. ConclusionRobotic excision of ovarian remnant is feasible with acceptable outcome. Its 3 –D magnification, enhanced articulation and fine movements may facilitate dissection in the confined space. Robotic excision of ovarian remnant is feasible with acceptable outcome. Its 3 –D magnification, enhanced articulation and fine movements may facilitate dissection in the confined space.