Successful fresh whole ovarian autotransplantation without vascular anastomosis
Yuki Kodama1, Hiroshi Sameshima, Tsuyomu Ikenoue
1Department of Obstetrics and Gynecology and Perinatal Center, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan. ykodama@fc.miyazaki-u.ac.jp
Objective:
To report a case of successful orthotopic autotransplantation of fresh whole ovaries without vascular anastomosis.
Setting:
Teaching hospital.
Patient(S):
A 34-year-old pregnant woman underwent emergency Cesarean hysterectomy during which both ovaries were accidentally removed.
Intervention(S):
We performed fresh whole ovarian autotransplantation in the retroperitoneum, without vascular anastomosis.
Main Outcome Measure(S):
Serial hormonal measurement of E2, P4, LH, and FSH serum levels.
Result(S):
Follow-up during the 4.5 years since transplantation has shown that the patient's hormonal levels have remained functional.
Conclusion(S):
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.
