After completion of the hysterectomy and ligation of the RFUO complex, a long and moist vaginal pack (I prefer the 4" x 36" cotton vaginal pack by Dukal) is used to push the bowels back and expose the adnexae
. The round ligament is identified within the RFUO complex and transected using a monopolar instrument.
We wanted to determine if there had been a significant change in the incidence rate of hysterectomy; whether there had been changes in the approach to hysterectomy; and whether there has been an increasing trend to removal of the adnexae
When the exploratory laparotomy or laparoscopy is undertaken for ectopic pregnancy, close inspection of both adnexae
is necessary to prevent maternal morbidity and mortality.
There are many approaches to transvaginal removal of the adnexae
; pick one and perfect it.
On inspection of the adnexae
intraoperatively, a cystic unilocular right ovarian cyst measuring 6x6 cm was observed.
Monoclonal antibodies in the diagnosis of lymphoproliferative diseases of the orbit and orbital adnexae
. Eye (Lond).
Sebaceous carcinoma is an uncommon intermediate grade malignancy of ocular adnexae
Horner Syndrome results from an interruption of the sympathetic innervation to the eye and ocular adnexae
. The sympathetic innervation of the eye occurs in a three-order system.
Follow-up of these transposed adnexae
is difficult and the procedure may lead to specific complications, particularly ovarian insufficiency, increased frequency of functional ovarian cysts after transposition, and recurring malignancy in the form of ovarian metastasis[4,5].
Relative distribution by affected organ and gender Organ Females (266) Males (45) Upper genital organs * 74 Lower genital organs ([dagger]) 127 Perineum 32 2 Bowel 16 30 Bladder 15 10 Varia 2 3 * Uterine body, adnexae
. ([dagger]) Cervix.
Twenty patients were found to have myometrial fibroids in addition to adenomyosis, and 11 had unsuspected findings within the adnexae
associated with endometriosis.
Removal of the adnexae
significantly reduces the risk of ovarian cancer among the cohort of women undergoing hysterectomy for benign disease.