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Ovarian transposition by laparoscopy before radiotherapy in the treatment of hodgkin's disease
Author(s) -
Classe JeanMarc,
Mahé Marc,
Moreau Philippe,
Rapp MarieJosée,
Maisonneuve Hervé,
Lemevel Annick,
Bourdin Sylvain,
Harousseau JeanLuc,
Cuillière JeanClaude
Publication year - 1998
Publication title -
cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.052
H-Index - 304
eISSN - 1097-0142
pISSN - 0008-543X
DOI - 10.1002/(sici)1097-0142(19981001)83:7<1420::aid-cncr20>3.0.co;2-5
Subject(s) - medicine , laparotomy , laparoscopy , surgery , radiation therapy
BACKGROUND The use of inverted Y irradiation in the treatment of Hodgkin's disease with pelvic lymph node involvement can cause iatrogenic early menopause in young women as a result of ovarian exposure to radiation. Ovarian transposition protects the ovaries by removing them from the irradiation field. This surgical procedure, initially performed by laparotomy, can now be done by laparoscopy. METHODS During the period July 1994 to April 1996, laparoscopic ovarian transposition was performed on 4 young women with Hodgkin's disease 1 week before inverted Y radiotherapy. The surgical procedure, complications, length of hospitalization, and hormonal, clinical, and biologic results were evaluated. RESULTS The mean duration of hospitalization was 4 days, and there were no postoperative complications. Iatrogenic menopause did not occur in any of the patients during the mean follow‐up period of 20.75 months (range, 6‐35 months; median, 20 months). CONCLUSIONS Laparoscopy offers many advantages over laparotomy for ovarian transposition. This procedure, which can be performed without opening the abdominal wall, is highly efficient, requires only a short period of hospitalization, and leads to few postoperative complications. Laparoscopy is an attractive alternative to laparotomy for ovarian transposition in young women with advanced Hodgkin's disease who require pelvic radiotherapy. Cancer 1998;83:1420‐1424. © 1998 American Cancer Society.