title: Successful fresh whole ovarian autotransplantation without vascular anastomosis.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology and Perinatal Center, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan. ykodama@fc.miyazaki-u.ac.jp
authors.forename: Yuki
authors.initials: Y
authors.lastname: Kodama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Sameshima
authors.forename: Tsuyomu
authors.initials: T
authors.lastname: Ikenoue
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Ikeda
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kawagoe
mesh_terms: 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