Abstract
IntroductionSeveral options are available for preserving fertility before cytotoxic treatment, including ovarian tissue cryopreservation. Most reported surgical techniques include electrocoagulation. Our hypothesis is that avoidance of electrocoagulation may decrease ovarian cortex injury during cryopreservation procedures.Case presentationWe report a laparoscopic technique of whole-ovary removal without coagulation using Endo-GIA forceps and clips. Laparoscopic ovariectomy was performed for cryopreservation in a 37-year-old Caucasian woman with breast cancer and for whom chemotherapy was planned. The procedure was completed quickly and without complication. This Endo-GIA procedure was of short duration with a short period of ischemia before freezing.ConclusionLaparoscopic ovariectomy using the Endo-GIA stapling device procedure without coagulation may diminish ovary injury before ovarian cryopreservation.
Highlights
Several options are available for preserving fertility before cytotoxic treatment, including ovarian tissue cryopreservation
Several options are available for preserving fertility before cytotoxic treatment, namely embryo cryopreservation, oocyte cryopreservation and ovarian tissue cryopreservation
Embryo cryopreservation results in good pregnancy rates, but the patient needs to be of pubertal or postpubertal age, have a partner and be able to undergo a cycle of ovarian stimulation [1]
Summary
Several options are available for preserving fertility before cytotoxic treatment, including ovarian tissue cryopreservation. Conclusion: Laparoscopic ovariectomy using the Endo-GIA stapling device procedure without coagulation may diminish ovary injury before ovarian cryopreservation. Introduction Several options are available for preserving fertility before cytotoxic treatment, namely embryo cryopreservation, oocyte cryopreservation and ovarian tissue cryopreservation. Ovarian tissue transplantation after cryopreservation is an option despite being an experimental technique with few live births reported [2].
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