Subcutaneous transposition of the ovary following hysterectomy.
OBJECTIVE
Preservation of ovarian function at hysterectomy in pre-menopausal women is desirable. A possibly malignant tumor from retained ovary is a concern. We demonstrate a new technique for exteriorization of the ovaries.


METHODS
In 27 patients, the infundibulopelvic ligament was mobilized. The retroperitoneal space was then widely opened. The ovary was gently pulled through a fascial incision and fixed on the fascia followed by skin closure.


RESULTS
Cystic formation was common (66.7%). Four patients had extreme enlargement of the transposed ovary. A needle puncture revealed intra-ovarian hematomas or fluid retention. One had puncture of the translocated ovary for in vitro fertilization more than two years following transposition.


CONCLUSIONS
Possible advantages are (1) early detection and diagnosis of ovarian cysts, (2) easy surgical access to remove ovarian cysts, (3) transposition of ovaries outside the radiation field and (4) in vitro fertilization is facilitated. Comparative study for ovarian function is ongoing.
Fujiwara
K
K
Department of Obstetrics and Gynecology, Kawasaki Medical School, Kurashiki, Japan.
Mohri
H
H
Yoshida
T
T
Yamauchi
H
H
Kohno
I
I
D000005:Abdomen / Q000601:surgery; D000273:Adipose Tissue; D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy; D010048:Ovarian Cysts / Q000175:diagnosis; D010053:Ovary / Q000601:surgery*; D011184:Postoperative Period