Laparoscopic Ovarian Transposition Before Pelvic Cancer Treatment: Ovarian Function and Fertility Preservation.
Survivors of pelvic cancer treatment live with the ramifications of pelvic radiation for many years after their cure. Several options are available to preserve ovarian function and fertility in reproductive age women undergoing pelvic radiation. Laparoscopic ovarian transposition is an under-utilized, yet fairly simple surgical procedure to relocate the ovaries away from the radiation field. Although randomized-controlled trials on the outcomes of ovarian transposition are scarce, there is a growing body of evidence on the risks and benefits of this procedure, in terms of prevention of premature ovarian failure, and potentially preserving fertility. In this review, we summarize the available data on the indications, patient selection and outcomes of ovarian transposition, as well as illustrate the technique of the procedure.
Section of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida. Electronic address: nmoawad@ufl.edu.
Nash S
NS
Moawad
University of Florida College of Medicine, Gainesville, Florida.
Estefania
E
Santamaria
Division of Reproductive Endocrinology & Infertility, Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida.
Alice
A
Rhoton-Vlasak
Department of Radiation Oncology, University of Florida College of Medicine, Gainesville, Florida.
Judith L
JL
Lightsey
D005260:Female; D059247:Fertility Preservation; D006801:Humans; D010535:Laparoscopy; D059351:Organ Sparing Treatments; D058958:Organs at Risk; D010053:Ovary / Q000601:surgery*; D010386:Pelvic Neoplasms / Q000532:radiotherapy*; D011832:Radiation Injuries / Q000517:prevention & control
Laparoscopy; Oophoropexy; Ovarian transposition; Ovariopexy; Pelvic malignancy