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Human Reproduction, Vol. 10, No. 2, pp. 372-374, 1995
© 1995 European Society of Human Reproduction and Embryology

case-report

Laparoscopic ovariopexy before irradiation for medulloblastoma

Chyi-Long Lee1, Ying-Ming Lai, Yung-Kuei Soong, Tzu-Kang Lin2 and Simon G. Tang3

The Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center Taipei, Taiwan, Republic of China 2Department of Neurosurgery, Chang Gung Memorial Hospital, Linkou Medical Center Taipei, Taiwan, Republic of China 3Department of Radiation Oncology, Chang Gung Memorial Hospital, Linkou Medical Center Taipei, Taiwan, Republic of China

Correspondence: 1To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung Medical School, 199 Tung-Hwa North Road Taipei, Taiwan 105, Republic of China

Ovarian preservation before abdominal irradiation may be recommended for young patients with various types of invasive cancer. The most common site for ovarian transposition is just below the iliac crest or posterolateral to the uterus. Here, we demonstrate laparoscopic ovariopexy with an automatic stapling device to transpose the ovaries to an uncommon site, i.e. lower anterolateral abdomen, in a patient with medulloblastoma prior to her receiving irradiation of the craniospinal axis. The anterolateral transposition of the ovary not only kept it away from the irradiated field but allowed it also to be shielded by the uterus. Thus, ovarian function could be well preserved.

Key words: craniospinal axis irradiation/laparoscopic ovariopexy/medulloblastoma/ovarian transposition


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