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