Ovarian conservation and repositioning in radical hysterectomy performed for cervical cancer: Experimental and clinical observations

The author presented an experimental procedure of subperitoneal respositioning of the ovaries into the region of abdominal wall associated with conservation of infundibulopelvic ligament, in female dogs. Relaparatomy was performed a year later. There were no significant changes in ovaries displaced both subperitoneally and subcutaneously. In seven patients under 36 years of age, who underwent the surgical procedure of radical hysterectomy for cervical cancer, ovaries were repositioned intraperiotoneally into the region of lower rim of the kidney associated with conservation of vascularization across the infundibulopelvic ligament. One patient presented with a cystic degeneration of the right ovary, whereas the others presented with normal ultrasonographic findings. Urinary estrogen values, estimated a year following the surgical procedure, ranged within normal values.