Laparoscopic lateral ovarian transposition.
OBJECTIVE
To determine if the new technique laparoscopic lateral transposition of the ovaries before pelvic radiotherapy for anal canal carcinoma prevents radiation-related ovarian failure.


METHODS
A case report.


METHODS
The operating room of a Canadian teaching hospital.


METHODS
A single patient with anal canal carcinoma, requiring pelvic radiotherapy, who desired preservation of ovarian function.


METHODS
Laparoscopic ovarian transposition to the level of the pelvic brim.


METHODS
Follow-up clinical and laboratory evidence of ovarian failure.


RESULTS
Initially ovarian failure was confirmed with the appearance of postmenopausal symptoms and the elevation of serum gonadotropins. These symptoms resolved by 8 months after radiotherapy, normal menstrual cycles resumed, and normal FSH levels were detected at that time.


CONCLUSIONS
The laparoscopic, lateral transposition of this patient's ovaries was effective at preventing radiation-related ovarian failure.
Treissman
M J
MJ
Department of Obstetrics and Gynecology, Vancouver Hospital, British Columbia, Canada.
Miller
D
D
McComb
P F
PF
D000328:Adult; D001005:Anus Neoplasms / Q000532:radiotherapy* / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy* / Q000601:surgery; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D010535:Laparoscopy; D010053:Ovary / Q000601:surgery; D016649:Primary Ovarian Insufficiency / Q000209:etiology / Q000517:prevention & control*; D011832:Radiation Injuries / Q000517:prevention & control*; D011835:Radiation Protection
D005640:Follicle Stimulating Hormone