Make sure the doctor performing the removal of the ovaries is capable of
doing it as described below!!!
> One question that comes up is "How can ovarian remnant syndrome be
> prevented?" This is an im****tant question, and the answer relates to
> how the ovary was removed initially. If a laparotomy is done, the
> surgeon may simply reach in with the hand and peel the ovary off of
> the pelvic sidewall. While most of the volume of the ovary may have
> been removed, the possibility exists that little bits of ovarian
> tissue may remain behind on peritoneal surfaces, yet not be obvious
> to the surgeon because of the raw surfaces left after such a
> maneuver.
>
> When an ovary is densely and confluently adherent to the peritoneum,
> the best technique would be retroperitoneal dissection. This means
> that the surgeon doesn't try to dissect the ovary off of the
> peritoneum, but instead goes behind the peritoneum and dissects the
> peritoneum (with the adherent ovary still attached) off of the pelvic
> sidewall. The blood supply can then be interrupted and the ovary
> (with the peritoneum still attached) removed. Many surgeons don't
> feel comfortable doing retroperitoneal dissection because it brings
> them close to the ureter (the tube carrying urine from the kidney
> down to the bladder) and to large blood vessels.
>
> Surgical treatment of ovarian remnant syndrome is usually successful
> in the hands of an experienced surgeon.
Source: http://tinyurl.com/y2pxx8
