Adnexal lesions that were re-operated were significantly larger (p
📌 3 Key Takeaways
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Objective & Hypothesis:Objective: To characterize adnexal lesions detected in patients who had undergone previous hysterectomy with one or both ovaries conserved,and to define the clinical, pathologic, and surgical characteristics of the adnexal lesions in these patients.Material and Methods: A retrospective observational study was conducted on patients who had undergone a previous abdominal hysterectomywith one or both adnexa preserved and who had subsequently presented with an adnexal lesion.
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Key Findings & Data:Of the 137 patients, 71 (51.8%) had undergone are-operation (re-operated group), the rest of the patients (n=66, 48.1%) remained on follow-up (follow-up group) in whom the lesion disappearedduring follow-up period.
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Conclusion & Impact:Adnexal lesions that were re-operated were significantly larger (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters
Abstract
Objective: To characterize adnexal lesions detected in patients who had undergone previous hysterectomy with one or both ovaries conserved,and to define the clinical, pathologic, and surgical characteristics of the adnexal lesions in these patients.Material and Methods: A retrospective observational study was conducted on patients who had undergone a previous abdominal hysterectomywith one or both adnexa preserved and who had subsequently presented with an adnexal lesion. Characteristics of lesions, operative, andpathologic findings in patients who required a re-operation were noted.Results: One hundred thirty-seven patients presented with an adnexal lesion after hysterectomy. Of the 137 patients, 71 (51.8%) had undergone are-operation (re-operated group), the rest of the patients (n=66, 48.1%) remained on follow-up (follow-up group) in whom the lesion disappearedduring follow-up period. Adnexal lesions that were re-operated were significantly larger (p
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Cite This Article
ÖKSÜZOĞLU, A., ÖZYER, Ş., YÖRÜK, Ö., AKSOY, R. T., YUMUŞAK, Ö. H., EVLİYAOĞLU, Ö. (2022). Adnexal lesions after hysterectomy: A retrospective observational study. Journal of the Turkish-German Gynecological Association, Cilt: 20 - Sayı: 3, 165–169. https://ajindex.com/articles/567449
Michelsen TM, Dørum A, Cvancarova M, Liavaag AH, Dahl AA. Association between hysterectomy with ovarian preservation and cardiovascular disease in a Norwegian population-based sample. Gynecol Obstet Invest 2013; 75: 61-7
Perera HK, Ananth CV, Richards CA, Neugut AI, Lewin SN, Lu YS, et al. Variation in ovarian conservation in women undergoing hysterectomy for benign indications. Obstet Gynecol 2013; 121: 717-26
Mikhail E, Salemi JL, Wyman A, Salihu HM, Imudia AN, Hart S. National Trends of Bilateral Salpingectomy During Vaginal Hysterectomy With and Without Laparoscopic Assistance, United States 1998-2011. J Minim Invasive Gynecol 2015; 22: 85
Karp NE, Fenner DE, Burgunder-Zdravkovski L, Morgan DM. Removal of normal ovaries in women under age 51 at the time of hysterectomy. Am J Obstet Gynecol 2015; 213: 716
Dekel A, Efrat Z, Orvieto R, Levy T, Dicker D, Gal R, et al. The residual ovary syndrome: a 20-year experience. Eur J Obstet Gynecol Reprod Biol 1996; 68: 159-64
Shiber LD, Gregory EJ, Gaskins JT, Biscette SM. Adnexal masses requiring reoperation in women with previous hysterectomy with or without adnexectomy. Eur J Obstet Gynecol Reprod Biol 2016; 200: 123-7
Naz F, Begum A. Experience with pelvic masses following hysterectomy for benign disease. Biomedica 2004; 20: 106-9
Baloglu A, Bezircioglu I, Cetinkaya B, Karci L, Bicer M. Development of secondary ovarian lesions after hysterectomy without oophorectomy versus unilateral oophorectomy for benign conditions: a retrospective analysis of patients during a nine-year period of observation. Clin Exp Obstet Gynecol 2010; 37: 299-302
Holub Z, Jandourek M, Jabor A, Kliment L, Wágnerová M. Does hysterectomy without salpingo-oophorectomy influence the reoperation rate for adnexal pathology? A retrospective study. Clin Exp Obstet Gynecol 2000; 27: 109-12
Plöckinger B, Kölbl H. Development of ovarian pathology after hysterectomy without oophorectomy. J Am Coll Surg 1994; 178: 581-5
Casiano ER, Trabuco EC, Bharucha AE, Weaver AL, Schleck CD, Melton LJ 3rd, et al. Risk of oophorectomy after hysterectomy. Obstet Gynecol 2013; 121: 1069-74
Christ JE, Lotze EC. The residual ovary syndrome. Obstet Gynecol 1975; 46: 551-6
Bukovsky I, Liftshitz Y, Langer R, Weinraub Z, Sadovsky G, Caspi E. Ovarian residual syndrome. Surg Gynecol Obstet 1988; 167: 132-4