Laparoscopic ovariopexy before irradiation for medulloblastoma.
Ovarian preservation before abdominal irradiation may be recommended for young patients with various types of invasive cancer. The most common site for ovarian transposition is just below the iliac crest or posterolateral to the uterus. Here, we demonstrate laparoscopic ovariopexy with an automatic stapling device to transpose the ovaries to an uncommon site, i.e. lower anterolateral abdomen, in a patient with medulloblastoma prior to her receiving irradiation of the craniospinal axis. The anterolateral transposition of the ovary not only kept it away from the irradiated field but allowed it also to be shielded by the uterus. Thus, ovarian function could be well preserved.
Lee
C L
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Taipei, Taiwan, Republic of China.
Lai
Y M
YM
Soong
Y K
YK
Lin
T K
TK
Tang
S G
SG
D000005:Abdomen; D000328:Adult; D002528:Cerebellar Neoplasms / Q000532:radiotherapy*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008527:Medulloblastoma / Q000532:radiotherapy*; D010053:Ovary; D011832:Radiation Injuries / Q000517:prevention & control*; D017792:Surgical Stapling