CASE REPORTS   

Minerva Ginecologica 2009 October;61(5):465-8

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Laparoscopic lateral ovarian transposition: a fertility sparing procedure

Ferrari S., Persico P., Di Puppo F., Giardina P., Ferrari A.

Obstetrics and Gynecology Department Vita-Salute University, San Raffaele Hospital, Milan, Italy

This article reports the case of a 30-year-old woman who, in 2003, resulted to be affected by diffuse large B-cell lymphoma of the left vaginal fornix, associated with sclerosis. After six chemoimmunotherapy cycles the patient underwent a laparoscopic procedure for lateral ovarian transposition to spare ovarian function before radiotherapy. Six months after the transposition the evaluation of ovarian function was performed. The hypothalamic-pituitary-ovary axe resulted to be normal. Three years after radiation therapy (2006) the patient spontaneously conceived. Her pregnancy proceeded regularly. She had an uneventful vaginal delivery. Lateral ovarian transposition with tubal anatomy preservation, which is an underused technique, can be successfully used to spare ovarian function in women who undergo pelvic radiotherapy and to let them achieve spontaneous pregnancy.