Medial Ovarian Transposition for Functional Protection in a Woman with Radiation Therapy

Abstract

There are reports in the literature about lateral ovarian transposition to preserve ovarian function previous to radiotherapy. In cases of young women with bilateral compromised parailiac ganglia a laparoscopic ovarian transposition towards a retro uterine location out of the reach of the main radiation beam can be made. This video shows the details of the surgical technique. The proximal pole of both ovaries was fixed to the ipsilateral uterosacral ligament. Two metallic clips were used to mark each distal ovarian pole to verify final position with x-rays.