Adequacy of laparoscopic oophorectomy

D A Johns, D. Alan Johns, Michael P. Diamond, M P Diamond
The Journal of the American Association of Gynecologic Laparoscopists · 1993 · vol. 1(1) , pp. 20–23 · doi:10.1016/s1074-3804(05)80753-4 · PMID:9050455 · W1991717958
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Laparoscopic oophorectomy in 27 premenopausal women resulted in no ovarian remnant syndrome or complications, with significant gonadotropin level changes, suggesting nonovarian regulation of secretion.

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Abstract

Ovarian remnant syndrome occurs infrequently after oophorectomy, yet when present it can contribute greatly to pelvic discomfort. The syndrome may be difficult to diagnose, identify surgically, and treat without intraoperative or postoperative complications developing. Recently, laparoscopic oophorectomy has been performed with increasing frequency. We assessed the outcome after laparoscopic removal of both ovaries or the sole remaining ovary in 27 premenopausal women. No intraoperative or postoperative complications were identified, and no patients have experienced symptoms consistent with ovarian remnant syndrome. All women had a marked rise in serum follicle-stimulating hormone (FSH) levels (81 to 72+/-5 mIU/ml), and luteinizing hormone (LH) levels (8+/-1 to 37+/-3 mIU/ml) after oophorectomy, and all but one had FSH levels 40 mIU/ml or above. Thirteen women had gonadotropin levels measured after 4 weeks of hormone replacement therapy; all had reductions in FSH levels, but 10 had elevations of their LH levels. These findings indicate that ovarian remnant syndrome occurs infrequently after laparoscopic oophorectomy. In addition, the data suggest a different, nonovarian regulation of gonadotropin secretion.

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MeSH descriptors

Laparoscopy Ovariectomy Adult Female Follicle Stimulating Hormone Follicle Stimulating Hormone Humans Luteinizing Hormone Luteinizing Hormone Ovariectomy Prospective Studies Treatment Outcome

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