The Role of Wedge Resection of the Ovary as a Cause for Mechanical Sterility

Results of conservative treatment in epithelial ovarian carcinoma

“…6 However, such a procedure could induce adhesions and subsequent infertility. 30 Furthermore in a previous study about LMPT, ovarian failure after multiple ovarian biopsies was observed. 5 In the study by Zanetta et al and in our series, none of patients with macroscopically normal ovary had microscopic metastasis found on routine biopsies.…”

Conservative surgery in ovarian borderline tumours: A meta-analysis with emphasis on recurrence risk

“…Regardless, in the included studies only 54.6% women were staged. Biopsy of the contralateral ovary is ill advised because, even in the setting of IOC, clinically occult bilateral ovarian involvement has been noted in only 2.5% of women undergoing staging for ovarian malignancy and ovarian surgery may impair future fertility, culminating in mechanical infertility in up to 14% of the cases [36].…”

Malignant germ cell tumors of the ovary: A study of 20 cases

“…In nondysgerminomatous malignant ovarian germ cell tumors, obtaining a wedge biopsy from an apparently normal and carefully inspected contralateral ovary is unnecessary, since the incidence of occult bilateral involvement is virtually nil. Moreover, one should remember that the taking of a wedge biopsy from the contralateral ovary may be disadvantageous since the risk of postoperative infertility has been documented to be approximately 14% [22]. In the present series, a wedge biopsy was taken during surgery from an apparently normal contralateral ovary in five of the 12 patients who had conservative surgery (in three of seven patients with dysgerminoma and unnecessarily in one patient with malignant teratoma and one patient with endodermal sinus tumor), and in no case was tumor detected.…”