Case ReportsPreservation of Ovarian Function in Young Woman With Hodgkin Disease by Laparoscopic Medial Transposition Before Abdominal IrradiationSolà, Vicente MD*; Ricci, Paolo MD*; Baeza, Mario Ramón MD†; Lema, Rodrigo MD*; Pardo, Jack MD*Author Information *Department of Obstetrics and Gynecology, Clínica Las Condes †Department Radiation Oncology, Instituto de Radiomedicina IRAM, Santiago, Chile Reprints: Paolo Ricci, MD, Department of Obstetric and Gynecology, Clínica Las Condes, Lo Fontecilla 441, Las Condes, Santiago, Chile (e-mail: [email protected]; [email protected]; [email protected]). Received for publication April 11, 2007; accepted February 29, 2008 Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: August 2008 - Volume 18 - Issue 4 - p 423-425 doi: 10.1097/SLE.0b013e3181730893 Buy Metrics Abstract A case of retro-uterine bilateral ovarian medial transposition in a 24-year-old women with Hodgkin's IIIB disease with bilateral compromised para-iliac ganglia is presented. A laparoscopic ovarian transposition toward a retro-uterine location out of the reach of the main radiation beam was made. The proximal pole of both ovaries was fixed to the ipsilateral uterosacral ligament. Two metallic clips were used to mark each distal ovarian pole to verify final position with x-rays. Preservation of the ovarian function was documented by hormonal levels 3 months after completing radiotherapy and regular yearly follow-up, until now. Normal menstruation patterns, similar to pretreatment history were recorded. © 2008 Lippincott Williams & Wilkins, Inc.