Background: The use of inverted Y irradiation in the treatment of Hodgkin's disease with pelvic lymph node involvement can cause iatrogenic early menopause in young women as a result of ovarian exposure to radiation. Ovarian transposition protects the ovaries by removing them from the irradiation field. This surgical procedure, initially performed by laparotomy, can now be done by laparoscopy.
Methods: During the period July 1994 to April 1996, laparoscopic ovarian transposition was performed on 4 young women with Hodgkin's disease 1 week before inverted Y radiotherapy. The surgical procedure, complications, length of hospitalization, and hormonal, clinical, and biologic results were evaluated.
Results: The mean duration of hospitalization was 4 days, and there were no postoperative complications. Iatrogenic menopause did not occur in any of the patients during the mean follow-up period of 20.75 months (range, 6-35 months; median, 20 months).
Conclusions: Laparoscopy offers many advantages over laparotomy for ovarian transposition. This procedure, which can be performed without opening the abdominal wall, is highly efficient, requires only a short period of hospitalization, and leads to few postoperative complications. Laparoscopy is an attractive alternative to laparotomy for ovarian transposition in young women with advanced Hodgkin's disease who require pelvic radiotherapy.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Impact of Radiotherapy on Endocrine Function and Gut Microbiota in Cervical Cancer Patients Undergoing Ovarian Transposition.
Int J Womens Health
December 2024
Emergency Room, Shijiazhuang Maternal and Child Health Hospital, Shijiazhuang, People's Republic of China.
Article Synopsis
- The study compares the effects of radiotherapy on ovarian and endocrine functions as well as gut microbiota in cervical cancer patients with and without ovarian transposition.
- The results indicated that patients who underwent ovarian transposition had better ovarian function preservation and improved quality of life scores compared to those who did not.
- Additionally, gut microbiota analysis showed distinct differences in microbial composition between the two groups, indicating the potential impact of ovarian transposition on gut health.
Post-radical hysterectomy ovarian torsion-A gynecological emergency: a case series.
J Med Case Rep
December 2024
Consultant Gynaecology Oncologist, Royal Sussex Hospital, Brighton, UK.
Article Synopsis
- * The report highlighted two cases of ovarian torsion following laparoscopic radical hysterectomy for cervical cancer, where both patients underwent a procedure meant to prevent this complication but still experienced torsion.
- * With ovarian torsion occurring in 1-8% of post-hysterectomy cases and rising cervical cancer rates among younger women, further research and improved surgical techniques are essential for better prevention and diagnosis.
Laparoscopic Robotic Assisted Surgery in Reproductive Medicine.
Arch Med Res
December 2024
Department of Obstetrics and Gynecology, Southern Illinois University, Springfield, Illinois, USA. Electronic address:
Article Synopsis
- Laparoscopic Robot-assisted surgery is a cutting-edge advancement in surgical technology, particularly benefiting reproductive medicine by enhancing fertility and providing innovative treatment options for gynecological conditions.
- Compared to traditional open surgery, it offers reduced post-surgical hospital stays and blood loss, with mixed results on operative times due to varying surgeon experience.
- Despite challenges like high costs and lack of tactile feedback, recent improvements—including the integration of Artificial Intelligence—are enhancing its applications for fertility preservation in female cancer survivors and other reproductive surgeries.
Minimally invasive treatment of nutcracker syndrome in a young girl.
Arch Argent Pediatr
October 2024
Hospital Interzonal Especializado Materno Infantil de Mar del Plata, Buenos Aires, Argentina.
Article Synopsis
- Nutcracker syndrome is a condition where the left renal vein is compressed by the superior mesenteric artery and aorta, potentially causing symptoms like abdominal pain and hematuria.
- A case study describes a 10-year-old girl who experienced chronic left flank pain for over two years and was diagnosed with Nutcracker syndrome.
- Her treatment involved surgically moving the left ovarian vein to relieve pressure on the left renal vein, and she has been symptom-free one year post-surgery, highlighting the procedure's effectiveness and low complication rate.
As oncologic therapy continues to advance, survivorship care has widened the realm of possibilities for quality-of-life improvements, including fertility preservation and restoration. We aim to summarize the current and future directions of fertility preservation techniques for patients facing gonadotoxic medical therapies who desire pregnancy after their condition is treated. This review of both ovarian and uterine transposition highlights the present roles, techniques, and fertility outcomes of the two fertility preservation treatment modalities designed to protect reproductive organs from harmful pelvic radiation.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!