Needle oophoropexy: a new simple technique for ovarian transposition prior to pelvic irradiation

Gareer, Waheed Yousry; Gad, Zeiad; Gareer, Haytham

doi:10.1007/s00464-010-1541-9

Cited by 26 publications

(31 citation statements)

References 24 publications

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“…In a review of 44 cases, Bisharah and Tulandi [41] reported that laparoscopic ovarian transposition in women younger than 40 years is associated with preservation of ovarian function in 88.6% of cases, similar to the rate of 83% for ovarian transposition by laparotomy reported by Husseinzadeh et al [42]. However, laparotomy is associated with a large abdominal incision, a long hospital stay, and an increased risk of adhesions formation and intestinal obstruction or ileus [41,43]. More importantly, laparotomy requires a delay of several months to allow the incision to heal before radiation, during which time the ovaries can migrate back to their original position, thereby explaining many cases of ovarian failure [36].…”

Section: Embryo Cryopreservationmentioning

confidence: 76%

Fertility Preservation Options for Female Cancer Patients: A Systematic Review

Dayal¹

2012

J Fertiliz In Vitro

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Advances in cancer detection and treatment have resulted in an increasing amount of long-term survivors who are left to deal with the adverse effects of their treatments. Fortunately, progress in fertility preservation technologies has been paralleling the trend in improving cancer outcomes. Because of the variations in type and dose of chemotherapy or radiation, the type of cancer, the time available before treatment initiation, and the patient's age and partner status, each case is unique and requires a different strategy for fertility preservation. The field of fertility preservation is growing rapidly. It is the goal of this paper to review some of the options, their success rates, and their limitations, so physicians can provide appropriately counsel and expeditiously refer their pre-menopausal patients diagnosed with cancer to a fertility specialist.

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Section: Embryo Cryopreservationmentioning

confidence: 76%

Fertility Preservation Options for Female Cancer Patients: A Systematic Review

Dayal¹

2012

J Fertiliz In Vitro

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“…In 2011, Gareer and associates described a modified multiport lateral oophoropexy that employed percutaneous passage of a straight needle [18]. Two years later Lacher et al produced the first publication outlining an experience utilizing SIPES in the management of ovarian pathology [19].…”

Section: Discussionmentioning

confidence: 99%

Single-Incision Pediatric Endosurgery (SIPES) oophoropexy in an adolescent with Hodgkin lymphoma prior to pelvic irradiation

Seims

Malkan

Sandoval

et al. 2015

Journal of Pediatric Surgery Case Reports

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a b s t r a c tOophoropexy for fertility preservation during pelvic irradiation dates back to the mid-1960s. For Hodgkin lymphoma (HL), this was performed during a staging laparotomy. Laparoscopic ovarian fixation has supplanted open pexy with advancements in technology and abandonment of staging laparotomies. Single-Incision Pediatric Endosurgery (SIPES) is applicable to numerous multi-port operations. Use of this technique for oophoropexy prior to pelvic irradiation, however, has not been reported. A 19 year-old with stage IVb HL involving the left iliac node basin was to receive radiotherapy and was evaluated for bilateral oophoropexy. An Olympus TriPortÔ was introduced at the umbilicus, through which a 5 mm zero-degree laparoscope and a needle driver were introduced. Transabdominal passage of a ski needle through a 2 mm nick in the skin of the anterolateral wall allowed for right sided fixation of the ovaries. Operative recovery was uncomplicated, and post-operative imaging demonstrated satisfactory positioning of the gonads outside the planned radiation field. In conclusion, SIPES oophoropexy is a technically simple method for fertility preservation that offers improved cosmesis.

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“…Il est à noter que l'objectif premier de la transposition ovarienne est la préservation de la fonction ovarienne endocrinienne, et que le maintien de la fertilité implique également l'épargne de l'utérus lors de la radiothérapie. Le tableau I résume les expériences cliniques rapportées dans la littérature [19][20][21][22][23][24][25][26][27][28][29].…”

Section: Transposition D'ovairesunclassified