Ovarian remnant syndrome: experience at Jackson Memorial Hospital, University of Miami, 1985 through 1993

Article Abstract:

Thorough dissection may be necessary during surgery to remove remnants of ovarian tissue left behind from previous operations and to avoid injuring the ureters. Remnants of ovarian tissue may resume the functions of the removed ovary and develop cysts that cause pain. Researchers reviewed eight cases of ovarian remnant syndrome at a Miami hospital. Most patients described their abdominal pain as persistent, dull, and localized rather than as sharp and intermittent. All patients had surgery to remove residual ovarian tissue. Ovarian remnant syndrome is most commonly treated by surgery, but may still recur in 8% to 10% of cases. The use of ultrasound before surgery may be helpful in locating tissue masses and determining their size. Clomiphene administration may help to identify an ovarian tissue mass before surgery by making it larger.

Care and treatment, Complications and side effects, Genital diseases, Female, Female genital diseases, Ovariectomy

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Randomized controlled trial of a prenatal vaginal birth after cesarean section education and support program

Article Abstract:

Prenatal education and support programs designed to encourage vaginal births after previous cesarean section delivery may not work. Researchers evaluated the effectiveness of a personalized prenatal education program to that of a pamphlet on the benefits of vaginal birth after cesarean (VBAC) delivery among women with low and high motivation for VBAC. Three times as many women with low motivation had a repeat elective cesarean (47%) as did women with high motivation (13%) regardless of whether they received the education program or the pamphlet. Low-motivation women felt they were in control of birth-related decisions, however.

Methods, Study and teaching, Patient education, Vaginal birth after cesarean

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