Ovarian transposition: a surgical option for fertility preservation
In this video, we present laparoscopic ovarian transposition as a surgical option for fertility preservation in reproductive-aged women before they undergo cancer treatment.
Volume 107, Issue 4, Page e15
Sara E. Arian, M.D., Linnea Goodman, M.D., Rebecca L. Flyckt, M.D., Tommaso Falcone, M.D.
Ovarian transposition is a great surgical option for fertility preservation in reproductive-aged women before they undergo gonadotoxic pelvic or craniospinal radiation. This surgical procedure is not a beneficial option for those patients receiving concomitant gonadotoxic chemotherapy. Ovarian transposition can be performed using different surgical techniques, including laparotomy and laparoscopy. Laparoscopic ovarian transposition is the preferred surgical technique described in the literature, because it is associated with more rapid recovery and less postoperative pain. This technique has been reported to have a success rate of 88.6% for preservation of ovarian function, as documented by measuring the gonadotropin levels after cancer treatment. Ovarian transposition is considered to be a safe and effective surgical option to prevent from premature ovarian failure and to optimize preservation of fertility.