RESUMO
BACKGROUND: Prophylactic oophorectomy in premenopausal women has been recommended to prevent ovarian cancer. However, serous carcinoma of the peritoneum, which is indistinguishable from ovarian carcinoma, can occur after oophorectomy. CASES: Two cases are reported of serous carcinoma of the peritoneum after oophorectomy. Presentation, management, and outcome are similar to those for ovarian carcinoma. CONCLUSION: More data are needed to quantify the risk of carcinoma after oophorectomy. Such knowledge may change the risk-benefit calculations of recommending prophylactic oophorectomy to premenopausal women at a certain age, and must be discussed with the patient who is considering prophylactic oophorectomy with or without other planned surgery.
Assuntos
Carcinoma Papilar/epidemiologia , Cistadenocarcinoma/epidemiologia , Neoplasias Ovarianas/prevenção & controle , Ovariectomia , Neoplasias Peritoneais/epidemiologia , Carcinoma Papilar/terapia , Terapia Combinada , Cistadenocarcinoma/terapia , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias Peritoneais/terapia , Fatores de RiscoRESUMO
Investigations with animal models and reported studies from the obstetric and gynecologic literature as well as the general surgical literature have suggested that a single mass closure is equal or superior to interrupted suture techniques. Over a 12-month period, 150 patients were operated on using a continuous mass technique for fascial closure with No.1 polydioxanone suture (PDS). One hundred thirty-five patients (90%) had risk factors that placed them at increased likelihood for wound complications. No fascial disruptions occurred. Wound complications were noted in 15 patients (10%). This technique merits wider use.
