Successful fresh whole ovarian autotransplantation without vascular anastomosis.
OBJECTIVE
To report a case of successful orthotopic autotransplantation of fresh whole ovaries without vascular anastomosis.


METHODS
Teaching hospital.


METHODS
A 34-year-old pregnant woman underwent emergency Cesarean hysterectomy during which both ovaries were accidentally removed.


METHODS
We performed fresh whole ovarian autotransplantation in the retroperitoneum, without vascular anastomosis.


METHODS
Serial hormonal measurement of E2, P4, LH, and FSH serum levels.


RESULTS
Follow-up during the 4.5 years since transplantation has shown that the patient's hormonal levels have remained functional.


CONCLUSIONS
Our case reveals that the retroperitoneal cavity provides an effective vascular bed for ovarian grafts. This is the first report of orthotopic autotransplantation of fresh whole ovaries without vascular anastomosis.
Kodama
Yuki
Y
Department of Obstetrics and Gynecology and Perinatal Center, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan. ykodama@fc.miyazaki-u.ac.jp
Sameshima
Hiroshi
H
Ikenoue
Tsuyomu
T
Ikeda
Tomoaki
T
Kawagoe
Yasuyuki
Y
D000328:Adult; D000714:Anastomosis, Surgical; D002585:Cesarean Section / Q000534:rehabilitation; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000534:rehabilitation; D010053:Ovary / Q000098:blood supply / Q000601:surgery* / Q000637:transplantation*; D011184:Postoperative Period; D011247:Pregnancy; D014182:Transplantation, Autologous; D016896:Treatment Outcome