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Fertil Steril. 1996 Jun;65(6):1229-31.

Laparoscopic lateral ovarian transposition.

Author information

1
Department of Obstetrics and Gynecology, Vancouver Hospital, British Columbia, Canada.

Abstract

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.

PMID:
8641503
[Indexed for MEDLINE]
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