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Uterine transposition technique: update and review.
Reitan Ribeiro1, Glauco Baiocchi2, Audrey T Tsunoda3
1Department of Surgical Oncology, Erasto Gaertner Hospital, Curitiba, Brazil - reitanribeiro@hotmail.com.
Minerva Ginecologica
|November 30, 2018
Summary
Uterine transposition surgery moves the uterus outside the pelvic radiation field, aiming to preserve fertility in cancer patients. Further research is needed to confirm the long-term effectiveness of this fertility-sparing technique.
Area of Science:
- Gynecology
- Surgical Oncology
- Reproductive Medicine
Background:
- Pelvic radiotherapy poses a risk to ovarian and uterine function, potentially leading to infertility.
- Preserving fertility is a critical concern for patients undergoing pelvic radiation therapy.
- Uterine transposition is a surgical approach to protect reproductive organs during radiation treatment.
Purpose of the Study:
- To review the uterine transposition technique for fertility preservation in patients undergoing pelvic radiotherapy.
- To detail the surgical steps, modifications, and potential complications of uterine transposition.
- To discuss the current status and future research needs for this fertility-sparing method.
Main Methods:
- Review of existing literature on uterine transposition techniques.
- Step-by-step presentation of the surgical procedure.
- Discussion of modifications based on clinical experience.
Main Results:
- The uterine transposition technique adapts established surgical methods to reposition the uterus and adnexa.
- Recent modifications and technical details, including potential complications, are presented.
- The technique aims to shield reproductive organs from radiation exposure.
Conclusions:
- Uterine transposition is an evolving technique for fertility preservation in patients requiring pelvic radiotherapy.
- While the fundamental principles are established, ongoing refinement is necessary.
- Long-term outcomes and efficacy require further investigation and study.
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