Relocation “transposition” of the ovaries

 

If radiation is planned in the lower abdomen and the ovaries are within the radiation area, this can lead to a loss of fertility. To prevent this, the ovaries can be moved out of the radiation area using a laparoscopy. During this operation, it is also possible to remove ovarian tissue, which can be frozen and transplanted again later. Of course, such a relocation of the ovaries is also conceivable as part of a planned abdominal operation for the underlying disease. The prerequisite is an abdomen free of adhesions (no history of major abdominal surgery and no prior infections in the abdominal cavity).

Detailed information and a bibliography can be found in the FertiPROTEKT booklet “Indikation und Durchführung fertilitätsprotektiver Maßnahmen bei onkologischen und nicht-onkologischen Erkrankungen”, 2nd revised edition 2020, which was written by members of the FertiPROTEKT Netzwerk e.V. and is available free of charge (in German).

(Chap. 3.7)

An english version can be bought: Fertility Preservation in Oncological and Non-Oncological Diseases a practical guide by Michael von Wolff & Frank Nawroth ISBN 978-3-030-47567-3 from Springer.com

Part III.VII page 223ff