Transposition of the ovaries for function preservation in radical surgery and post-irradiation of cervical carcinoma
Bilek, K.; Leitsmann, H.
Zentralblatt für Gynakologie 106(3): 152-159
1984
ISSN/ISBN: 0044-4197 PMID: 6702345 Document Number: 228652
It is recommended to leave behind the ovaries in their place in radical surgery of cervical cancer, if post-operative irradiation is not necessary. In cases of post-operative radiation therapy it is possible to preserve the function of the remaining ovaries by their transposition out of the irradiation area during operation. The operative technique for ovarian (adnexal) transposition will be demonstrated, and first informations about experiences and results are given. In 44 patients with cervical cancer from stage T1 b No Mo to T2 N1Mo a Wertheim-Meigs-operation with simultaneous ovarian transposition was performed, and 30 of them had a post-operative radiation therapy. In 44% of the radiation group was no change, in 24% a small restriction, and in 32% a total loss of ovarian function. The reasons of the unsuccessful lifting procedure are discussed, and possibilities for improvement of this management are shown.