About Ovarian Transposition Surgery

Ovarian transposition surgery, also known as ovarian suspension or oophoropexy, is a surgical technique designed to relocate the ovaries to a different position within the pelvis or outside the radiation field. This procedure is primarily performed in women diagnosed with gynecological cancers—such as cervical, endometrial, or ovarian cancer—who require radiation therapy or pelvic surgeries. By moving the ovaries, this surgery aims to protect their function and preserve fertility.

Procedure of Ovarian Transposition Surgery

Preoperative Evaluation: Prior to the surgery, a comprehensive evaluation is conducted to assess the patient’s medical history, cancer diagnosis, fertility goals, and treatment plan. This assessment may include imaging tests, blood work, and consultations with a multidisciplinary team of specialists to ensure an individualized approach.

Surgical Planning: The surgical plan is tailored to each patient’s specific circumstances. Key factors considered in planning the procedure include the type and stage of cancer, details of the radiation therapy, and the individual’s anatomical considerations. This careful planning helps determine the optimal site for ovarian relocation.

Surgical Technique: Ovarian transposition surgery is typically performed using minimally invasive techniques, such as laparoscopy or robot-assisted surgery, although open surgery may be necessary in some cases.

1. Incision Creation: The surgeon creates small incisions in the abdomen to access the pelvic cavity.

2. Ovary Dissection: Careful dissection is performed to identify and isolate the ovaries.

3. Ovary Relocation: The ovaries are detached from their original position and relocated to a safer location, typically outside the radiation field. Common relocation sites include the posterior cul-de-sac, paracolic gutter, or lateral abdominal wall.

4. Ovary Stabilization: The relocated ovaries are secured in their new position using sutures or surgical meshes to ensure stability and prevent future displacement.

5. Closure: The surgical incisions are closed, and appropriate measures are taken to minimize the risk of complications.

Postoperative Care and Monitoring

After the surgery, the patient is closely monitored for any postoperative complications. Key aspects of postoperative care include:

• Pain Management: The healthcare team will provide pain relief strategies tailored to the patient’s needs.

• Wound Care: Instructions on how to care for the surgical incisions will be provided to prevent infection and promote healing.

• Activity Restrictions: Guidelines on physical activity and lifting restrictions will be discussed to ensure a smooth recovery.

Regular follow-up visits are essential to assess ovarian function, monitor hormone levels, and discuss fertility options after treatment. These visits help ensure that the patient’s reproductive health is supported and that any concerns are addressed promptly.