Table of Contents    
Case Report
 
Laparoscopic tubo-ovarian transposition prior to chemoradiation for uterine cervical cancer
Masaki Mandai1, Noriomi Matsumura2, Kenzo Kosaka3, Koji Yasumoto2, Tsukasa Baba2, Yumiko Yoshioka2, Ayako Suzuki2, Ikuo Konishi4
1Associate Professor, Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
2Assistant Professor, Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
3Medical Staff, Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.
3Professor, Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine, 54 Shogoin Kawahara-cho, Sakyo-ku, Kyoto 606-8507, Japan.

doi:10.5348/ijcri-2012-06-137-CR-10

Address correspondence to:
Masaki Mandai, M.D., PhD
Associate Professor, Department of Gynecology and Obstetrics Kyoto University Graduate School of Medicine
54 Shogoin Kawahara-cho
Sakyo-ku, Kyoto 606-8507
Japan
Phone: [81]-75-751-3269
Fax: [81]-75-761-3967
Email: mandai@kuhp.kyoto-u.ac.jp

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How to cite this article:
Mandai M, Matsumura N, Kosaka K, Yasumoto K, Baba T, Yoshioka Y, Suzuki A, Konishi I. Laparoscopic tubo-ovarian transposition prior to chemoradiation for uterine cervical cancer. International Journal of Case Reports and Images 2012;3(6):42–45.


Abstract
Introduction: Laparoscopic ovarian transposition is an effective method to preserve ovarian function in cancer patient who undergos pelvic irradiation. However, in usual operative procedure, the patients lose an ability to conceive naturally.
Case Report: We report a case of stage IIb uterine cervical cancer in which we performed a modified procedure of ovarian transposition. In an attempt to preserve potential ability for natural conception, we mobilized the fallopian tubes along with the ovaries by keeping the mutual proximity. Ovaries were anchored to the peritoneum outside the irradiation field.
Conclusion: The procedure was safely performed under laparoscopy, and may be useful as a standard surgical procedure for the patients who desire preservation of fertility.

Key Words: Ovarian transposition, Laparoscopy, Ovarian function, Fertility preservation

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Author Contributions:
Masaki Mandai - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Noriomi Matsumura - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Kenzo Kosaka - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Koji Yasumoto - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Tsukasa Baba - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yumiko Yoshioka - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ayako Suzuki - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Ikuo Konishi - Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
There is no conflict of interest regarding this article in any of the authors.
Copyright:
© Masaki Mandai et al. 2012; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)