Ovarian Function, Reproduction, and Later Operations Following Adnexal Surgery

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Abstract
Among 3102 patients who had major gynecologic operations, only 223 (7.18%) needed adnexal operations during which reproductive potential was preserved. Operations involved ovaries (156) tubes (55) and embryologic cysts (32). After recovery 53.69% of these patients had viable babies (64.46% of patients under age 30). Patients were examined up to 28 yr after operations, an average 11.32 yr. When last examined most patients still retained physiologic evidence of ovarian hormonal function; 20 patients passed through spontaneous menopause at an average age of 49.4 yr. Fifty-two patients needed subsequent pelvic operations, but only 7 possibly related conditions (4 repeat tubal pregnancies and 3 cystadenomas). All but 1 twisted adnexal mass, with gangrene, originated as a paramesonephric duct cyst. Seventeen adnexal operations were associated with pregnancy; 15 mothers had healthy babies and 2 aborted. Details concerning numbers and characteristics of specific lesions are included.

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