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Laparoscopic lateral ovarian transposition: a fertility sparing procedure
S Ferrari1, P Persico, F Di Puppo
1Obstetrics and Gynecology Department, Vita-Salute University, San Raffaele Hospital, Milan, Italy. stefano.ferrari@ fastwebnet.it
Minerva Ginecologica
|September 15, 2009
Summary
Lateral ovarian transposition successfully preserved fertility in a lymphoma patient undergoing pelvic radiotherapy. This technique allowed for a spontaneous pregnancy and uneventful delivery, highlighting its potential for preserving reproductive function.
Area of Science:
- Gynecologic Oncology
- Reproductive Endocrinology
Background:
- Diffuse large B-cell lymphoma requires chemoimmunotherapy and radiotherapy, posing risks to ovarian function.
- Preserving fertility is crucial for young women undergoing cancer treatment.
Observation:
- A 30-year-old woman with vaginal lymphoma underwent lateral ovarian transposition before pelvic radiotherapy.
- Ovarian function was assessed six months post-transposition, revealing a normal hypothalamic-pituitary-ovary axis.
Findings:
- The patient achieved spontaneous pregnancy three years after radiation therapy.
- She experienced a regular pregnancy and an uneventful vaginal delivery.
Implications:
- Lateral ovarian transposition is an effective, underused technique for preserving ovarian function during pelvic radiotherapy.
- This fertility-sparing method can enable women to achieve successful spontaneous pregnancies post-treatment.
