残余卵巢综合征。文献回顾。当前证据

IF 0.1 Q4 OBSTETRICS & GYNECOLOGY Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2023-10-01 DOI:10.1016/j.gine.2023.100902
M. Arnáez de la Cruz, J. Gallardo Martínez
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引用次数: 0

摘要

残留卵巢综合征是指卵巢皮质在切除不足后持续存在,主要是在卵巢切除术后。这是一种严重影响患者的误诊情况。它是典型的子宫内膜异位症,盆腔炎或以前的多次手术。我们的目标是审查目前的证据,以确定临床特征、鉴别诊断、治疗和预防策略。为此,我们通过PubMed、Medline、Embase、BioMed Central和SciELO数据库进行了文献检索。我们的结论是,这种病理学应该包括在接受卵巢切除术的慢性盆腔疼痛患者的鉴别诊断中。它的治疗是外科手术,是腹腔镜手术的黄金标准。它允许更好的解剖暴露,降低失血、并发症发生率和住院时间。在卵巢切除术过程中,分离腹膜后间隙的漏斗脑室韧带是预防这种并发症的主要策略。
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Síndrome de ovario remanente. Revisión bibliográfica. Evidencia actual

Remnant ovarian syndrome is the persistence of ovarian cortex after a deficient resection, mainly after oophorectomy. It is a misdiagnosed condition that significantly affects patients. It is typical from endometriosis, pelvic inflammatory disease or previous multiple surgeries. Our objectives are to review the current evidence to determine clinic features, differential diagnosis, treatment and preventive strategies. For this, we have carried out a bibliographic literature search through the PubMed, Medline, Embase, BioMed Central and SciELO databases.We conclude that this pathology should be included in the differential diagnosis in patients with chronic pelvic pain who have undergone oophorectomy. Its treatment is surgical, being the laparoscopic approach the gold standard. It allows a better anatomic exposure, with lower blood loss, complication rate and hospital stay. Isolating the infundibulopelvic ligament in the retroperitoneal space during the oophorectomy is the main strategy to prevent this complication.

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来源期刊
CiteScore
0.20
自引率
0.00%
发文量
54
期刊介绍: Una excelente publicación para mantenerse al día en los temas de máximo interés de la ginecología de vanguardia. Resulta idónea tanto para el especialista en ginecología, como en obstetricia o en pediatría, y está presente en los más prestigiosos índices de referencia en medicina.
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