Wedge resection of the ovary

Wedge resection of the ovary

In certain physiological disturbances of hormonal nature, such as the Stein – Leventhal syndrome, with prolonged amenorrhea or irregularly profuse bleeding, the ovary has the characteristic appearance of multiple small follicular cysts within its substance and a heavy thick cortical covering. There is no evidence of corpora lutea, either recent or old. Reduction of the bulk of the ovarian substance may correct this condition. This is the so-called wedge resection of the ovary (tutorial of surgery).

Figure 1. The assistant steadies the uterus while the operator grasps the ovarian pedicle and ovary between the index finger and midfinger of the left hand. A generous segment of ovarian substance is outlined, and the thick, heavy fibrous tunica of the ovary is incised.

Figure 2. Allis forceps retract the cut edges, and the dissection is carried well into the substance and the wedge excised.

Figure 3. A Babcock clamp steadies the ovarian ligament medially, and the edges of the cavity are held apart with Allis forceps while the raw edges of the ovary are approximated by a suture which includes the base of the cavity.

Figure 4. The running suture in the ovary is completed by returning to its point of origin. There it is tied. Note that the bulk of the ovarian tissue has diminished.

Wedge resection of the ovary

Since the disease is always bilateral, the same procedure must be carried out on the opposite side.

resection of the ovary

Wedge resection

Wedge resection of the ovary

 

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