Preservation of ovarian function in young woman with hodgkin disease by laparoscopic medial transposition before abdominal irradiation.

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.