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Paul M Magtibay - One of the best experts on this subject based on the ideXlab platform.

  • Ovarian Remnant Syndrome comparison of laparotomy laparoscopy and robotic surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2012
    Co-Authors: Ignacio Zapardiel, Vanna Zanagnolo, Javier F Magrina, Paul M Magtibay
    Abstract:

    Objective. To compare laparotomy, laparoscopy and robotic surgery in the management of Ovarian Remnant Syndrome. Design. Retrospective comparative study. Setting. Mayo Clinic Arizona and Mayo Clinic Rochester, USA. Population. Women who underwent surgical treatment for Ovarian Remnant Syndrome. Methods. The clinical records of 223 patients with histologically documented residual cortical Ovarian tissue excised at Mayo Clinic by laparotomy, laparoscopy or a robotic approach, from January 1985 through February 2009, were reviewed. Data collected included the patient's age, body mass index, previous medical and surgical history, symptoms, prior management of Ovarian Remnant Syndrome, preoperative imaging study, intraoperative details, postoperative course, complications and follow-up data. Main outcome measures. Intraoperative and postoperative outcomes. Results. One hundred and eighty-seven patients (83.9%) were operated by laparotomy, 19 (8.5%) by laparoscopy and 17 (7.6%) by a robotic approach. Estimated blood loss and length of stay were significantly lower in the robotic and laparoscopic groups compared with laparotomy (p < 0.01). After a mean follow-up of 21.1 ± 32.4 months, the rate of pain improvement was 93.1, 94.4 and 71.4% for the laparotomy, laparoscopy and robotic surgery group, respectively. Conclusions. Robotic and laparoscopic surgery for the treatment of Ovarian Remnant Syndrome offer advantages over laparotomy in terms of reduced blood loss, lower postoperative complications and shorter length of stay.

  • pathologic findings and outcomes of a minimally invasive approach to Ovarian Remnant Syndrome
    Fertility and Sterility, 2007
    Co-Authors: Javier F Magrina, Paul M Magtibay
    Abstract:

    Objective To review outcomes and pathologic findings of a primarily minimally invasive approach to Ovarian Remnant Syndrome. Design Data were abstracted from medical records documenting bilateral salpingo-oophorectomy and subsequent treatment between 1996 and 2006 for pathologically confirmed Ovarian Remnant tissue. Follow-up was by mailed questionnaires and telephone interviews. Setting Tertiary care academic medical institution. Patient(s) Twenty patients (mean age, 48 years) receiving treatment for Ovarian Remnant tissue after prior bilateral salpingo-oophorectomy. Intervention(s) Primarily minimally invasive approach (conventional laparoscopy and robot-assisted laparoscopy) for removal of Ovarian Remnant tissue. Main Outcome Measure(s) Postoperative complications and recurrence. Result(s) The 20 patients had a mean follow-up of 30 months. Indications were endometriosis in 8 and Ovarian neoplasm in 6. Eighteen patients presented with pain, and 2 presented with a pelvic mass. Nineteen had laparoscopy (14 conventional; 5 robotic), and 1 had laparotomy. Remnant Ovarian tissue was associated with endometriosis in 5 and corpus luteum in 3. Two patients had malignancy in Remnant Ovarian tissue. Postoperative complications included pneumonia (1 case). Follow-up identified no recurrence. Conclusion(s) Ovarian Remnant Syndrome can be managed safely and successfully with minimally invasive surgery. Risk of carcinoma mandates surgical resection.

  • Ovarian Remnant Syndrome.
    Clinical Obstetrics and Gynecology, 2006
    Co-Authors: Paul M Magtibay, Javier F Magrina
    Abstract:

    Ovarian Remnant Syndrome (ORS) refers to a condition occurring in women who have had a bilateral salpingo-oophorectomy (BSO), with or without a hysterectomy, that leaves behind Ovarian tissue. This residual Ovarian tissue then results in pelvic pain or a pelvic mass. Risk factors associated with incomplete removal of an ovary and subsequent development of ORS include a history of endometriosis, pelvic inflammatory disease, multiple previous surgeries, and pelvic adhesive disease. Patients most frequently present with chronic pelvic pain, pelvic pain associated with a pelvic mass, or an asymptomatic pelvic mass. Definitive criteria for diagnosis of ORS include a history of BSO with histologic documentation of Ovarian tissue obtained during subsequent surgical excision. The recommended treatment for ORS is surgical excision by laparotomy or, more recently, laparoscopy. We present the presentation and management of patients with ORS and a review of the published literature.

  • Ovarian Remnant Syndrome
    American Journal of Obstetrics and Gynecology, 2005
    Co-Authors: Paul M Magtibay, Jessica L Nyholm, Jose L Hernandez, Karl C Podratz
    Abstract:

    Objective This study was undertaken to examine surgical management of patients with Ovarian Remnant Syndrome. Study design Data were abstracted from records of patients with a history of bilateral salpingo-oophorectomy who were treated surgically at Mayo Clinic between 1985 and 2003 for pathologically confirmed residual Ovarian tissue. A follow-up questionnaire was also mailed. Results Records review identified 186 patients (mean age, 37.6 years; mean follow-up, 1.2 years). Of 180 patients with available data, 153 (85%) underwent oophorectomy by laparotomy, 13 (7%) by laparoscopy, and 14 (8%) by transvaginal approach, mostly for endometriosis (56.8%). Of 186 patients, 105 (57%) presented with pelvic masses and 89 (48%) with pelvic pain. Remnant Ovarian tissue was associated with a corpus luteum in 78 (42%) and endometriosis in 54 (29%). The intraoperative complication rate was 9.6%. Of 142 patients, 12 (9%) required subsequent re-exploration (1 Ovarian Remnant identified). Conclusion This heavily pretreated population has modest risk of bowel, bladder, or ureteral trauma with definitive pelvic sidewall stripping and apical vaginal excision. However, subsequent recurrence is minimal (

F. Siedentopf - One of the best experts on this subject based on the ideXlab platform.

  • Chronischer Unterbauchschmerz der Frau
    Der Schmerz, 2014
    Co-Authors: F. Siedentopf, M. Sillem
    Abstract:

    Hintergrund Der chronische Unterbauchschmerz der Frau stellt in der gynäkologischen Praxis ein schwieriges diagnostisches und therapeutisches Problem dar, das im Umgang mit den betroffenen Frauen eine stete Herausforderung ist. Gynäkologische Ursachen Mögliche gynäkologische Ursachen und Befunde sind Endometriose, Adhäsionen bzw. die „pelvic inflammatory disease“ (PID), pelvine Varikosis und das „Ovarian retention Syndrome/Ovarian Remnant Syndrome“. Andere somatische Ursachen sind das Reizdarmsyndrom, das „bladder pain Syndrome“ bzw. die interstitielle Zystitis sowie Erkrankungen des muskuloskeletalen Systems und des Bindegewebes. Psychosoziale Ursachen Gesicherte psychosoziale Ursachen sind eine hohe Komorbidität mit psychologischen Faktoren wie Angststörungen, Substanzabhängigkeit oder depressiven Störungen, wobei eine eindeutige Zuordnung zu sozialen Faktoren nicht nachgewiesen ist. Auch ein Zusammenhang mit körperlichem und sexuellem Missbrauch kann nicht abschließend bewertet werden. Diagnostik und Therapie In der Diagnostik sind die Anamnese, gynäkologische Untersuchung und Durchführung einer Laparoskopie als wichtige Schritte zu nennen. Multidisziplinäre Therapieansätze sind als Erfolg versprechend anzusehen. Die psychosomatische Grundversorgung soll von Beginn an in das Behandlungskonzept integriert werden. Auch eine Psychotherapie ist frühzeitig einzuleiten. Background Chronic pelvic pain in women represents a difficult diagnostic and therapeutic problem in the gynecological practice which is always a challenge when dealing with affected women. Gynecological causes Possible gynecological causes are endometriosis, adhesions and/or pelvic inflammatory disease (PID), pelvic varicosis and Ovarian retention Syndrome/Ovarian Remnant Syndrome. Other somatic causes are irritable bowel Syndrome, bladder pain Syndrome, interstitial cystitis and fibromyalgia. Psychosocial factors Psychosocial causes contributing to chronic pelvic pain are a high comorbidity with psychological factors, such as anxiety disorders and substance abuse or depression but the influence of social factors is less certain. The association with physical and sexual abuse also remains unclear. Diagnostics and therapy Important diagnostic steps are recording the patient history, a gynecological examination and laparoscopy. Multidisciplinary therapeutic approaches are considered to be very promising. Basic psychosomatic care and psychotherapy should be integrated into the therapeutic concept at an early stage.

  • Chronischer Beckenschmerz der Frau aus gynäkologischer Sicht
    Urologe A, 2009
    Co-Authors: F. Siedentopf
    Abstract:

    Der chronische Becken- oder Unterbauchschmerz der Frau stellt in der gynakologischen Praxis ein schwieriges diagnostisches und therapeutisches Problem dar, das im Umgang mit den betroffenen Frauen eine stete Herausforderung ist. Mogliche gynakologische Ursachen und Befunde sind Endometriose, Adhasionen/PID, pelvine Varikosis und „Ovarian retention syndome/Ovarian Remnant Syndrome“. Andere somatische Ursachen sind Reizdarmsyndrom, „bladder pain Syndrome“/interstitielle Zystitis sowie Erkrankungen des Muskel-Skelett-Systems und des Bindegewebes.

  • Chronischer Beckenschmerz der Frau aus gynäkologischer Sicht
    Der Urologe, 2009
    Co-Authors: F. Siedentopf
    Abstract:

    Chronic pelvic pain in women is a difficult subject that challenges the gynecologist in practice. Possible gynecological causes are endometriosis, adhesions/PID, pelvic varicosis and Ovarian retention Syndrome/Ovarian Remnant Syndrome. Other somatic causes are irritable bowel Syndrome, bladder pain Syndrome and fibromyalgia. Confirmed psychosocial factors contributing to chronic pelvic pain are comorbidity with anxiety disorders, substance abuse or depression, but the influence of social factors is less certain. The connection to physical and sexual abuse also remains unclear. Important diagnostic steps are studying the patient’s history, a gynecological examination and laparoscopy. Multidisciplinary therapeutic approaches are helpful. Basic psychosomatic care and psychotherapy should be integrated into the therapeutic concept at an early stage of the disease. Der chronische Becken- oder Unterbauchschmerz der Frau stellt in der gynäkologischen Praxis ein schwieriges diagnostisches und therapeutisches Problem dar, das im Umgang mit den betroffenen Frauen eine stete Herausforderung ist. Mögliche gynäkologische Ursachen und Befunde sind Endometriose, Adhäsionen/PID, pelvine Varikosis und „Ovarian retention syndome/Ovarian Remnant Syndrome“. Andere somatische Ursachen sind Reizdarmsyndrom, „bladder pain Syndrome“/interstitielle Zystitis sowie Erkrankungen des Muskel-Skelett-Systems und des Bindegewebes. Gesicherte psychosoziale Ursachen sind eine hohe Komorbidität mit psychologischen Faktoren wie Angststörungen, Substanzabhängigkeit oder depressiven Störungen, wobei eine eindeutige Zuordnung zu sozialen Faktoren nicht nachgewiesen ist. Auch ein Zusammenhang zu körperlichem und sexuellem Missbrauch kann nicht abschließend bewertet werden. In der Diagnostik sind Anamnese, gynäkologische Untersuchung und die Durchführung einer Laparoskopie als wichtige Schritte durchzuführen. Multidisziplinäre Therapieansätze sind als Erfolg versprechend anzusehen. Die psychosomatische Grundversorgung soll von Beginn an in das Behandlungskonzept integriert werden. Auch die Einleitung einer Psychotherapie soll frühzeitig in das Behandlungskonzept integriert werden.

Regine Gätje - One of the best experts on this subject based on the ideXlab platform.

  • Ovarialkarzinom nach Ovariektomie - selten aber möglich!
    Tumordiagnostik & Therapie, 2007
    Co-Authors: Eugen Ruckhäberle, Achim Rody, Lars Hanker, S. Kriener, Manfred Kaufmann, Regine Gätje
    Abstract:

    Ovarian cancer is one of the most frequently occurring genital malign disorders in women and contributes hugely to cancer-caused mortality. In the search for risk factors for Ovarian cancer interest has increasingly focused on endometriosis and the rare Ovarian Remnant Syndrome. We report on a case of a 49-year-old patient with Ovarian cancer after bilateral salpingo-ovariectomy and discuss possible causal factors.

  • Ovarialkarzinom nach Ovariektomie - selten aber möglich!
    Geburtshilfe Und Frauenheilkunde, 2007
    Co-Authors: Eugen Ruckhäberle, Achim Rody, Lars Hanker, S. Kriener, Manfred Kaufmann, Regine Gätje
    Abstract:

    Das Ovarialkarzinom ist das zweithaufigste Genitalmalignom der Frau und tragt wegen der haufig spaten Diagnosestellung einen hohen Anteil an krebsbedingter Mortalitat. In der Suche nach Risikofaktoren fur ein Ovarialkarzinom ruckt in letzter Zeit neben den haufigen klassischen und familiaren Faktoren die Endometriose und das seltene Ovarian-Remnant-Syndrom zunehmend ins Bewusstsein. Wir schildern den Fall einer 49-jahrigen Patientin mit Ovarialkarzinom nach vorausgegangener beidseitiger Adnektomie und diskutieren die moglichen kausalen Faktoren. Ovarian cancer is one of the most frequently occurring genital malign disorders in women and contributes hugely to cancer-caused mortality. In the search for risk factors for Ovarian cancer interest has increasingly focused on endometriosis and the rare Ovarian Remnant Syndrome. We report on a case of a 49-year-old patient with Ovarian cancer after bilateral salpingo-ovariectomy and discuss possible causal factors.

Javier F Magrina - One of the best experts on this subject based on the ideXlab platform.

  • Surgical Management and Prevention of Ovarian Remnant
    Journal of Minimally Invasive Gynecology, 2018
    Co-Authors: Megan Wasson, Javier F Magrina
    Abstract:

    Abstract Study Objective To provide surgeons with surgical techniques necessary for management and prevention of Ovarian Remnant Syndrome. Design Instructional video (Canadian Task Force classification III). Setting Academic medical center. Intervention Surgical dissection and retroperitoneal anatomy. Measurements and Main Results Ovarian Remnant Syndrome occurs when residual Ovarian tissue inadvertently remains in situ after salpingo-oophorectomy 1 , 2 , 3 , 4 . It can result in pelvic pain and pelvic mass 1 , 2 , 3 , 4 . Risk factors include endometriosis, adhesive disease, pelvic inflammatory disease, and prior pelvic surgery 1 , 2 , 3 , 4 . Ovarian Remnant can also occur as a result of Ovarian stroma extending up to 1.4 cm into the infundibulopelvic ligament beyond the visible margin [5] . Medical management and radiotherapy are treatment options but do not provide the definitive management that surgery affords 1 , 2 , 3 , 4 . Surgery also avoids missing a potential malignancy within the Remnant tissue 1 , 2 , 3 , 4 . This video demonstrates the surgical techniques necessary to treat and prevent this condition, including key retroperitoneal anatomy. Mayo Clinic Institutional Review Board approval was not required for this video article. Conclusion Both treatment and prevention of Ovarian Remnant Syndrome follow the same basic surgical principles, including high ligation of the infundibulopelvic ligament, retroperitoneal dissection, and excision of all peritoneum and tissue adherent to the ovary.

  • Ovarian Remnant Syndrome comparison of laparotomy laparoscopy and robotic surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2012
    Co-Authors: Ignacio Zapardiel, Vanna Zanagnolo, Javier F Magrina, Paul M Magtibay
    Abstract:

    Objective. To compare laparotomy, laparoscopy and robotic surgery in the management of Ovarian Remnant Syndrome. Design. Retrospective comparative study. Setting. Mayo Clinic Arizona and Mayo Clinic Rochester, USA. Population. Women who underwent surgical treatment for Ovarian Remnant Syndrome. Methods. The clinical records of 223 patients with histologically documented residual cortical Ovarian tissue excised at Mayo Clinic by laparotomy, laparoscopy or a robotic approach, from January 1985 through February 2009, were reviewed. Data collected included the patient's age, body mass index, previous medical and surgical history, symptoms, prior management of Ovarian Remnant Syndrome, preoperative imaging study, intraoperative details, postoperative course, complications and follow-up data. Main outcome measures. Intraoperative and postoperative outcomes. Results. One hundred and eighty-seven patients (83.9%) were operated by laparotomy, 19 (8.5%) by laparoscopy and 17 (7.6%) by a robotic approach. Estimated blood loss and length of stay were significantly lower in the robotic and laparoscopic groups compared with laparotomy (p < 0.01). After a mean follow-up of 21.1 ± 32.4 months, the rate of pain improvement was 93.1, 94.4 and 71.4% for the laparotomy, laparoscopy and robotic surgery group, respectively. Conclusions. Robotic and laparoscopic surgery for the treatment of Ovarian Remnant Syndrome offer advantages over laparotomy in terms of reduced blood loss, lower postoperative complications and shorter length of stay.

  • pathologic findings and outcomes of a minimally invasive approach to Ovarian Remnant Syndrome
    Fertility and Sterility, 2007
    Co-Authors: Javier F Magrina, Paul M Magtibay
    Abstract:

    Objective To review outcomes and pathologic findings of a primarily minimally invasive approach to Ovarian Remnant Syndrome. Design Data were abstracted from medical records documenting bilateral salpingo-oophorectomy and subsequent treatment between 1996 and 2006 for pathologically confirmed Ovarian Remnant tissue. Follow-up was by mailed questionnaires and telephone interviews. Setting Tertiary care academic medical institution. Patient(s) Twenty patients (mean age, 48 years) receiving treatment for Ovarian Remnant tissue after prior bilateral salpingo-oophorectomy. Intervention(s) Primarily minimally invasive approach (conventional laparoscopy and robot-assisted laparoscopy) for removal of Ovarian Remnant tissue. Main Outcome Measure(s) Postoperative complications and recurrence. Result(s) The 20 patients had a mean follow-up of 30 months. Indications were endometriosis in 8 and Ovarian neoplasm in 6. Eighteen patients presented with pain, and 2 presented with a pelvic mass. Nineteen had laparoscopy (14 conventional; 5 robotic), and 1 had laparotomy. Remnant Ovarian tissue was associated with endometriosis in 5 and corpus luteum in 3. Two patients had malignancy in Remnant Ovarian tissue. Postoperative complications included pneumonia (1 case). Follow-up identified no recurrence. Conclusion(s) Ovarian Remnant Syndrome can be managed safely and successfully with minimally invasive surgery. Risk of carcinoma mandates surgical resection.

  • Ovarian Remnant Syndrome.
    Clinical Obstetrics and Gynecology, 2006
    Co-Authors: Paul M Magtibay, Javier F Magrina
    Abstract:

    Ovarian Remnant Syndrome (ORS) refers to a condition occurring in women who have had a bilateral salpingo-oophorectomy (BSO), with or without a hysterectomy, that leaves behind Ovarian tissue. This residual Ovarian tissue then results in pelvic pain or a pelvic mass. Risk factors associated with incomplete removal of an ovary and subsequent development of ORS include a history of endometriosis, pelvic inflammatory disease, multiple previous surgeries, and pelvic adhesive disease. Patients most frequently present with chronic pelvic pain, pelvic pain associated with a pelvic mass, or an asymptomatic pelvic mass. Definitive criteria for diagnosis of ORS include a history of BSO with histologic documentation of Ovarian tissue obtained during subsequent surgical excision. The recommended treatment for ORS is surgical excision by laparotomy or, more recently, laparoscopy. We present the presentation and management of patients with ORS and a review of the published literature.

  • Mucinous adenocarcinoma in an Ovarian Remnant
    International Journal of Gynecological Cancer, 2004
    Co-Authors: N. H. Dereska, Jeffrey L. Cornella, Michael Hibner, Javier F Magrina
    Abstract:

    The Ovarian Remnant Syndrome, a complication of bilateral salpingo-oophorectomy, is progressively receiving more attention in the gynecological surgery literature. The Syndrome is manifested by pelvic pain and a palpable or sonographic finding of a pelvic mass. However, in rare cases, patients can present with large masses and radiographic suggestion of malignancy. We present the case of a 76-year-old white female, 23 months after bilateral salpino-oophorectomy at the same institution, complaining of 3.5 months of right flank and abdominal pain. Clinical and radiological evidence of a right Ovarian Remnant was discovered. Subsequent laparoscopic resection was consistent with a well-encapsulated mucinous adenocarcinoma in a right Ovarian Remnant. Curiously, this patient had no history of endometriosis, dense pelvic adhesions, pelvic inflammatory disease, or difficulty encountered during the original hysterectomy. This is the seventh published case report in the international literature about carcinoma developing in an Ovarian Remnant. However, this case differs in that the patient had no preexisting gynecologic conditions at the time of hysterectomy and bilateral salpingo-oophorectomy to account for residual Ovarian tissue. Additionally, the oophorectomy was performed vaginally, in contrast to multiple previous case reports.

C Nezhat - One of the best experts on this subject based on the ideXlab platform.

  • Laparoscopic management of Ovarian Remnant
    Obstetrics and Gynecology Clinics of North America, 2004
    Co-Authors: Ali Mahdavi, C Nezhat, Farr Nezhat, Bulent Berker
    Abstract:

    Ovarian Remnant Syndrome has become increasingly recognized as a cause of pelvic pain after extirpative surgery. Surgical removal of the Ovarian Remnant is the optimal treatment. Laparoscopy is safe and effective in managing Ovarian Remnant Syndrome when performed by an experienced laparoscopist.

  • Ovarian Remnant Syndrome after laparoscopic oophorectomy
    Fertility and Sterility, 2000
    Co-Authors: Farr Nezhat, D S Seidman, S A Mirmalek, C Nezhat
    Abstract:

    Abstract Objective: To report the surgical history, clinical characteristics, and operative technique used in patients with Ovarian Remnant Syndrome after laparoscopic oophorectomy. Design: Observational study. Setting: Teaching hospital and private practice office. Patient(s): Nineteen patients with documented history of unilateral or bilateral laparoscopic oophorectomies with histologic confirmation of Ovarian Remnants. Intervention(s): Operative laparoscopy for resection of Ovarian Remnants. Main Outcome Measure(s): Risk factors and surgical technique contributing to Ovarian Remnant Syndrome. Result(s): The patients underwent a mean of 4.7 previous surgical procedures (range, two to nine): 12 had bilateral oophorectomy, and seven had unilateral oophorectomy. The infundibulopelvic ligament had been secured with bipolar desiccation in 11 patients, pretied surgical loops in six, and a linear stapler in two. Cystic Ovarian Remnants were identified by pelvic sonography in 12 women and by computed tomography (CT) scan in one. Six women underwent reoperation, two for Ovarian Remnants in different sites. Conclusion(s): With laparoscopic oophorectomy there is risk of Ovarian Remnant due to improper tissue extraction or misapplication or improper use of pretied surgical loops, linear stapler, or bipolar electrodesiccation on the infundibulopelvic ligament, especially in women with a history of multiple pelvic surgeries, adhesions, or endometriosis.

  • Laparoscopic repair of a vesicovaginal fistula : a case report
    Obstetrics & Gynecology, 1994
    Co-Authors: Ceana Nezhat, C Nezhat, Farr Nezhat, Howard Rottenberg
    Abstract:

    Background: Operative laparoscopy was performed for the management of Ovarian Remnant Syndrome involving the bladder, bowel, vagina, and ureters, and requiring extensive dissection. A vesicovaginal fistula developed postoperatively. Case: Because of the complexity and location of the fistula, a vaginal approach was not appropriate. Using techniques of videolaparoscopy, videocystoscopy, and operative laparoscopy, the fistula was repaired. Conclusion: In experienced hands, endoscopic management of complex vesicovaginal fistulae may be an alternative to the traditional abdominal approach

  • operative laparoscopy for the treatment of Ovarian Remnant Syndrome
    Fertility and Sterility, 1992
    Co-Authors: Farr Nezhat, C Nezhat
    Abstract:

    Objective To present the technique and assess the efficacy of operative laparoscopy to manage Ovarian Remnant Syndrome. Design Observational with a follow-up of 6 to 32 months. Setting Private subspecialty practice with a large referral base. Patients Thirteen women, 9 with previous bilateral salpingo-oophorectomy and 4 with previous unilateral salpingo-oophorectomy and pain on the ipsilateral side. Interventions Multipuncture advanced operative laparoscopy. Main Outcome Measures Patient pain relief was assessed through return examinations, telephone interviews, or contact with referring physicians. Results Nine patients reported complete pain relief. One reported incomplete but satisfactory pain relief. Two required bowel resection by laparotomy to obtain pain relief, and one, despite subsequent laparotomy, had persistent pain. No intraoperative or postoperative complications were noted. Conclusion Laparoscopy can be effective in managing Ovarian Remnant Syndrome when performed by an experienced laparoscopist.