Background: Whether the surgery for benign ovarian disease affect ovulatory function on residual ovarian tissue has not yet been established. Methods: We investigated the post-operative function of residual ovaries in...Background: Whether the surgery for benign ovarian disease affect ovulatory function on residual ovarian tissue has not yet been established. Methods: We investigated the post-operative function of residual ovaries in 62 patients who underwent laparoscopic ovarian cystectomy or abdominal ovarian cystectomy. Results: The results based on an average of 7.9 monitored ovulatory cycles after surgery showed that 53% of patients did not have natural ovulation from the diseased ovary. The number of developing follicles after ovulation-induction treatments was significantly less in the diseased ovary than in the healthy ovary. However, in 13 of 24 women who became pregnant after surgery, ovulation occurred in the diseased ovary. Although a reduction in maturation of follicles was suggested after cystectomy, some women became pregnant after ovulation from the diseased ovary. Conclusion: Our results suggest that careful attention should be given to preventing post-operative adhesion in the diseased and surgically managed ovary in cases that undergo cystectomy.展开更多
Objective. To compare pelvic examination under anesthesia to transvaginal sonography (TVS) as a method for ovarian detection and measurement. Methods. Two hundred and eighty-nine ovaries from 151 women were evaluated....Objective. To compare pelvic examination under anesthesia to transvaginal sonography (TVS) as a method for ovarian detection and measurement. Methods. Two hundred and eighty-nine ovaries from 151 women were evaluated. After induction of anesthesia, a complete pelvic examination and TVS were performed, and the ovaries were removed surgically. Ovarian dimensions generated sonographically and estimated on clinical examination were compared to those obtained from the measured surgical specimen. Results. Forty-four percent of ovaries were palpable clinically whereas 85%were visualized sonographically (P < 0.001). Right ovaries were palpable more frequently than left ovaries (P < 0.01). Ovaries were detected clinically in 30%of women >55 years of age versus 51%of women < 55 years of age (P < 0.05), in 9%of women weighing >200 lb versus 55%of women weighing < 200 lb (P < 0.001), and in 12%of women with a uterine weight >200 g versus 51%of women with a uterine weight < 200 g (P < 0.001). TVS was significantly more accurate than clinical examination in detecting ovaries in women with these high risk characteristics. Conclusions. TVS is significantly more accurate than clinical examination in detecting ovaries and in defining their dimensions. Ovaries frequently are not palpable in women ≥55 years of age, women who weigh >200 lb, or women with an enlarged uterus ( > 200 g). The addition of TVS to annual pelvic examination may be beneficial in women >55 years of age who are overweight and therefore at high risk to develop ovarian cancer.展开更多
文摘Background: Whether the surgery for benign ovarian disease affect ovulatory function on residual ovarian tissue has not yet been established. Methods: We investigated the post-operative function of residual ovaries in 62 patients who underwent laparoscopic ovarian cystectomy or abdominal ovarian cystectomy. Results: The results based on an average of 7.9 monitored ovulatory cycles after surgery showed that 53% of patients did not have natural ovulation from the diseased ovary. The number of developing follicles after ovulation-induction treatments was significantly less in the diseased ovary than in the healthy ovary. However, in 13 of 24 women who became pregnant after surgery, ovulation occurred in the diseased ovary. Although a reduction in maturation of follicles was suggested after cystectomy, some women became pregnant after ovulation from the diseased ovary. Conclusion: Our results suggest that careful attention should be given to preventing post-operative adhesion in the diseased and surgically managed ovary in cases that undergo cystectomy.
文摘Objective. To compare pelvic examination under anesthesia to transvaginal sonography (TVS) as a method for ovarian detection and measurement. Methods. Two hundred and eighty-nine ovaries from 151 women were evaluated. After induction of anesthesia, a complete pelvic examination and TVS were performed, and the ovaries were removed surgically. Ovarian dimensions generated sonographically and estimated on clinical examination were compared to those obtained from the measured surgical specimen. Results. Forty-four percent of ovaries were palpable clinically whereas 85%were visualized sonographically (P < 0.001). Right ovaries were palpable more frequently than left ovaries (P < 0.01). Ovaries were detected clinically in 30%of women >55 years of age versus 51%of women < 55 years of age (P < 0.05), in 9%of women weighing >200 lb versus 55%of women weighing < 200 lb (P < 0.001), and in 12%of women with a uterine weight >200 g versus 51%of women with a uterine weight < 200 g (P < 0.001). TVS was significantly more accurate than clinical examination in detecting ovaries in women with these high risk characteristics. Conclusions. TVS is significantly more accurate than clinical examination in detecting ovaries and in defining their dimensions. Ovaries frequently are not palpable in women ≥55 years of age, women who weigh >200 lb, or women with an enlarged uterus ( > 200 g). The addition of TVS to annual pelvic examination may be beneficial in women >55 years of age who are overweight and therefore at high risk to develop ovarian cancer.
