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Laparoscopic Ovarian Transposition Before Pelvic Irradiation: A Saudi Tertiary Center Experience
  1. Ismail A. Al-Badawi, MBchB, MD*,
  2. Murad Al-Aker, MD*,
  3. Jamal AlSubhi, MD*,
  4. Hany Salem, MD*,
  5. Alaa Abduljabbar, MD*,
  6. Khalid Balaraj, MD* and
  7. Adnan Munkarah, MD
  1. * King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia; and
  2. Henry Ford Health System, Detroit, MI.
  1. Address correspondence and reprint requests to Ismail A. Al-Badawi, MBchB, MD, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. E-mail: i_albadawi{at}


Objective: To report the authors' experience with laparoscopic ovarian transposition and ovarian function preservation in women who require pelvic irradiation as part of their cancer therapy.

Design: Cohort study.

Setting: The gynecologic oncology service in a referral tertiary/quaternary medical center in Saudi Arabia.

Patients: Twenty-three premenopausal patients treated with radiotherapy for a pelvic malignancy.

Interventions: Laparoscopic ovarian transposition to paracolic gutters with uterine conservation.

Main Outcome Measures: Preservation of ovarian function assessed by patients' symptoms and serum follicle-stimulating hormone level.

Results: Bilateral laparoscopic ovarian transposition was performed in 23 patients: 15 with cervical cancer, 4 with rectal cancer, 3 with Ewing sarcoma, and 1 with Hodgkin lymphoma. No immediate intraoperative or postoperative complications were observed. Three patients were lost to follow-up. Ovarian preservation was achieved in 13 (65%) of 20 patients. Seven patients with low follicle-stimulating hormone levels had regular uterine bleeding at follow-up.

Conclusions: Laparoscopic ovarian transposition is a safe and effective procedure for preserving ovarian function. This procedure should be considered in all premenopausal women who need to undergo pelvic irradiation as part of their cancer treatment.

  • Ovarian transposition
  • Ovarian preservation
  • Pelvic irradiation
  • Laparoscopic

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