Abstract
<h3>Study Objective</h3> To review the role of ovarian transposition in fertility preservation technologies, describe laparoscopic ovarian transposition performed for fertility preservation in a patient undergoing pelvic radiation, and to discuss the feasibility of this procedure for the general obstetrician gynecologist for cancer patients desiring fertility preservation. <h3>Design</h3> We present a case report of a patient who undergoes laparoscopic ovarian transposition performed for fertility preservation prior to planned pelvic radiation therapy for melanoma metastatic to the sacrum. <h3>Setting</h3> Ambulatory operating room setting with patient in dorsal lithotomy position. <h3>Patients or Participants</h3> Case report of a patient selected from our institution. <h3>Interventions</h3> Laparoscopic ovarian transposition affixes the ovaries out of the pelvis, preventing their irradiation during planned radiation therapy for cancers involving the pelvis. <h3>Measurements and Main Results</h3> A laparoscopic ovarian transposition performed for fertility preservation was successfully performed prior to planned pelvic radiation therapy. <h3>Conclusion</h3> Women undergoing planned pelvic radiation therapy should be offered ovarian transposition prior to starting therapy. Laparoscopic ovarian transposition is an option for fertility preservation that is within the scope of the general obstetrician gynecologist.
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