Laparoscopic lateral ovarian transposition before radiation treatment of Hodgkin disease

J Am Assoc Gynecol Laparosc. 1997 Nov;4(5):601-4. doi: 10.1016/s1074-3804(05)80096-9.

Abstract

More than one-half of women treated with pelvic radiation therapy for malignant disease experience premature ovarian failure. Preservation of ovarian function by repositioning the ovaries out of the irradiation field is suggested in all women of reproductive age. This repositioning generally is done by moving the ovaries either medially so they are posterior to the uterus, or laterally so they are in the paracolic gutters. Laparoscopic medial transposition has been reported, with mixed results. A woman underwent successful laparoscopic lateral transposition before irradiation for stage IIIa Hodgkin disease. A review of published cases suggests that this is preferable to medial transposition.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / methods
  • Hodgkin Disease / diagnosis
  • Hodgkin Disease / radiotherapy*
  • Humans
  • Laparoscopy / methods*
  • Neoplasm Staging
  • Ovary / radiation effects
  • Ovary / surgery*
  • Primary Ovarian Insufficiency / etiology
  • Primary Ovarian Insufficiency / prevention & control*
  • Radiation Protection / methods*
  • Treatment Outcome