Robotically assisted endoscopic ovarian transposition.
BACKGROUND
Ovarian transposition is the anatomical relocation of the ovaries from the pelvis to the abdomen. Transposition is beneficial in women who are to undergo pelvic radiation, because it allows maintenance of ovarian function and preservation of assisted reproductive capacity.


METHODS
The da Vinci surgical system (Intuitive Surgical, Mountainview, CA, USA) was used to perform an endoscopic ovarian transposition. The ovaries were mobilized on their respective infundibulopelvic ligaments and sutured to the ipsilateral pericolic gutters.


RESULTS
A series, of laboratory sessions using the da Vinci system was completed at our institution's training facility. Surgical experience included cadaveric pelvic dissection and abdominopelvic procedures on anesthetized porcine models. Additional didactic and laboratory training, including a certification examination, was obtained from Intuitive Surgical, Inc. The first clinical case of robotically assisted endoscopic ovarian transposition was performed.


CONCLUSIONS
Robotically assisted endoscopy was successfully used for ovarian transposition.
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Omaha, Nebraska, USA. kmolpus@unmc.edu
Kelly L
KL
Molpus
June S
JS
Wedergren
Mark A
MA
Carlson
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000532:radiotherapy / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010053:Ovary / Q000601:surgery*; D012371:Robotics; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy / Q000601:surgery