A new approach for laparoscopic ovarian transposition before pelvic irradiation

Gynecol Oncol. 2007 Apr;105(1):234-7. doi: 10.1016/j.ygyno.2006.12.001. Epub 2007 Jan 22.


Objective: To evaluate and describe our special design of laparoscopic ovarian transposition to a high anterolateral position using Lee-Huang point as first entrance and landmark before pelvic irradiation in premenopausal patients with a gynecologic malignancy.

Methods: Laparoscopic surgery was conducted to transpose bilateral ovaries in consecutive cases of premenopausal women with a gynecologic malignancy requiring pelvic irradiation in a university-based, tertiary-level training center for endoscopic surgery. Ovaries were transposed to a high anterolateral position, 3-4 cm above umbilical line.

Results: Laparoscopic ovarian transpositions were performed bilaterally in consecutive fourteen cases without conversion to laparotomy. The mean operating time was 128 min (range, 83-181 min) and average blood loss was 74 mL (range, 10-150 mL). No intraoperative or immediate postoperative complication related to the laparoscopic ovarian transposition procedure was observed. The mean follow-up period was 72 months (range, 42-142 months) and only one of the seven (14.29%) patients under 39 years old became ovarian failure after receiving concurrent chemoradiation.

Conclusion: The new designed method of laparoscopic ovarian transposition is a simple and safe procedure. We recommend this process to premenopausal women who required pelvic irradiation, especially for those less than 40 years old.

MeSH terms

  • Adult
  • Carcinoma, Squamous Cell / radiotherapy*
  • Combined Modality Therapy
  • Female
  • Gynecologic Surgical Procedures / methods
  • Humans
  • Laparoscopy / methods
  • Ovary / radiation effects
  • Ovary / surgery*
  • Premenopause
  • Radiation Protection / methods
  • Retrospective Studies
  • Uterine Cervical Neoplasms / radiotherapy*
  • Vaginal Neoplasms / radiotherapy*