Fresh autologous transplantation of ovarian cortical strips to the anterior abdominal wall at the pfannenstiel incision site.
OBJECTIVE
To describe an open surgical technique for transplanting fresh ovarion tissue to the anterior abdominal wall at the incision site and to determine whether ovarian function would be restored after transplantation.


METHODS
Case study.


METHODS
Academic medical center.


METHODS
A 44-year-old patient who underwent an operation for uterine fibroids.


METHODS
Microsurgical reconstruction of ovarian cortex and its transplantation to the anterior abdominal wall at incision site of Pfannenstiel.


METHODS
Follicular development evident by ultrasound examination; restoration of serum FSH and LH levels to nonmenopausal range; and disappearance of menopausal symptoms.


RESULTS
Early postoperative FSH, LH, and E(2) levels showed that menopause was confirmed. Postoperative hormone levels at months 2, 3, and 6 were as follows: FSH: 77.86, 79.50, and 13.70 mIU/mL; LH: 34.60, 33.92, and 8.78 mIU/mL; E(2): 29, 46, and 48 pg/mL. The patient is still followed-up for postmenopausal status.


CONCLUSIONS
Autotransplantation of cortical strips to the anterior abdominal wall at the incision site without further incision can be a logical solution for the patients at early climacteric age.
Department of Obstetrics and Gynecology, Kahramanmaras Sutcuimam University School of Medicine, Turkey. gurkankiran@yahoo.com
Gurkan
G
Kiran
Hakan
H
Kiran
Y Kenan
YK
Coban
Alanur M
AM
Guven
Muruvvet
M
Yuksel
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D004958:Estradiol / Q000097:blood; D005260:Female; D005640:Follicle Stimulating Hormone / Q000097:blood; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007889:Leiomyoma / Q000601:surgery*; D007986:Luteinizing Hormone / Q000097:blood; D008593:Menopause / Q000502:physiology; D010053:Ovary / Q000502:physiology / Q000637:transplantation*; D014182:Transplantation, Autologous
D004958:Estradiol; D007986:Luteinizing Hormone; D005640:Follicle Stimulating Hormone