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Laparoscopic lateral ovarian transposition
M J Treissman1, D Miller, P F McComb
1Department of Obstetrics and Gynecology, Vancouver Hospital, British Columbia, Canada.
Objective:
To determine if the new technique laparoscopic lateral transposition of the ovaries before pelvic radiotherapy for anal canal carcinoma prevents radiation-related ovarian failure.
Design:
A case report.
Setting:
The operating room of a Canadian teaching hospital.
Patients:
A single patient with anal canal carcinoma, requiring pelvic radiotherapy, who desired preservation of ovarian function.
Interventions:
Laparoscopic ovarian transposition to the level of the pelvic brim.
Main Outcome Measures:
Follow-up clinical and laboratory evidence of ovarian failure.
Results:
Initially ovarian failure was confirmed with the appearance of postmenopausal symptoms and the elevation of serum gonadotropins. These symptoms resolved by 8 months after radiotherapy, normal menstrual cycles resumed, and normal FSH levels were detected at that time.
Conclusions:
The laparoscopic, lateral transposition of this patient's ovaries was effective at preventing radiation-related ovarian failure.