Laparoscopic Ovarian Transposition Before Pelvic Cancer Treatment: Ovarian Function and Fertility Preservation

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• 作者：Nash S. Moawad ; MD ; MS ; FACOG^a ; ^{nmoawad@ufl.edu} ; Estefania Santamaria ; BS^d ; Alice Rhoton-Vlasak ; MD^b ; Judith L. Lightsey ; MD^c
• 关键词：Laparoscopy ; Oophoropexy ; Ovarian transposition ; Ovariopexy ; Pelvic malignancy
• 刊名：Journal of Minimally Invasive Gynecology
• 出版年：2017
• 出版时间：1 January 2017
• 年：2017
• 卷：24
• 期：1
• 页码：28-35
• 全文大小：1490 K
• 卷排序：24

文摘

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.