Introduction/Background The number of young women with malignancies requiring pelvic radiotherapy are increasing globally. An important component of treatment should include preservation of her fertility and hormonal functions. Available modalities should be explained and importance emphasised.

Methodology We performed a retrospective study of the hospital electronic medical records. The procedures were performed through laparoscopy. The ovaries were anchored as high as possible in the paracolic gutters. Preferably in subhepatic/subsplenic region. Location is marked by a metal clip. Perfusion confirmed by indocyanine green injection.

Results A dismal 35 out of 350 patients requiring pelvic radiotherapy, underwent ovarian transposition.

Conclusion We are a 550 bed tertiary oncology centre in an Indian metropolitan city. Only 10% of all eligible patients underwent this procedure. It represents an important lacunae in the treatment protocols wherein future quality of life issues are not discussed. The woman could be cured of malignancy, but suffer from quality of life issues due to premature menopause/loss of fertility.

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Abstract #423 Figure 1

Transposed subhepatic right ovary.

Disclosures None