Laparoscopic ovarian transposition for pelvic malignancies: indications and functional outcomes.
Fertil Steril
; 70(5): 956-60, 1998 Nov.
Article
em En
| MEDLINE
| ID: mdl-9806584
ABSTRACT
OBJECTIVE:
To assess the indications and effectiveness of laparoscopic ovarian transposition before pelvic irradiation for a gynecologic cancer.DESIGN:
Prospective study.SETTING:
A gynecologic oncology department in a French anti-cancer center. PATIENT(S) Twenty-four patients treated for pelvic cancer. INTERVENTION(S) Laparoscopic ovarian transposition to paracolic gutters. Uterine conservation in 18 patients. MAIN OUTCOME MEASURE(S) Clinical and laboratory follow-up tests of ovarian function. RESULT(S) Bilateral laparoscopic ovarian transposition was achieved in 22 patients (94%). Twelve patients were treated for clear cell adenocarcinoma of the cervix and/or upper vagina, 6 patients for invasive squamous cervical carcinoma, 3 patients for pelvic sarcoma, 1 patient for recurrent cervical cancer to the upper vagina, 1 patient for ependymoma of the cauda equina, and 1 patient for ovarian dysgerminoma. Ovarian preservation was achieved in 79%. Three pregnancies were obtained. CONCLUSION(S) Laparoscopic ovarian transposition is a safe and effective procedure for preserving ovarian function. Bilateral ovarian transposition should be performed. The main indications for laparoscopic ovarian transposition are a patient with a small invasive cervical carcinoma (<2 cm) in a patient <40 years of age who is treated by initial laparoscopically assisted vaginal radical hysterectomy and a patient with a clear cell adenocarcinoma of the cervix and upper vagina.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ovário
/
Neoplasias Pélvicas
/
Laparoscopia
Tipo de estudo:
Clinical_trials
/
Observational_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Fertil Steril
Ano de publicação:
1998
Tipo de documento:
Article
País de afiliação:
França