Post Show Quiz Ovarian Transposition

Which of the following is the primary purpose of ovarian transposition?

The main purpose of ovarian transposition is to preserve fertility in reproductive age women. As part of the treatment for certain cancers, pelvic radiation is used. The ovaries are repositioned to avoid radiation damage.

Decreases the risk of cancer metastasis

Lowers risk of radiation damage to the ovaries to maintain fertility

Ovarian transposition is the treatment for an ovarian torsion

Relieve pain associated with pelvic cancers

Where are ovaries normally repositioned?

Historically, the ovaries were relocated medially by suturing them to the posterior uterus. However, this still absorbed radiation. Contemporary procedures reposition above the pelvic brim and as lateral as possible. Other various locations have been attempted including base of round ligament, level of lower pole of the kidney, and paracolic cutters

Sub-Diaphragm

Posterior uterus

above pelvic brim, and as lateral as possible along wall of abdomen

paracolic gutters

Transpositioned ovaries are prone to the same pathology as normal ovaries

It is important to remember that surgically transposed ovaries are functional ovaries, so they may have cysts in them and undergo hemorrhagic corpus luteal cysts. It is important not to mistake them for metastatic disease.

True

False

Which of the following is a proposed long-term complication of ovarian transposition?

There has been some literature suggesting the ovarian transposition can be done to prevent ovarian torsion. However, there is still controversy. A long-term outcome that has been theorized is compromised blood supply. This is because, as a result of the procedure, the blood supply is stretched to be elevated with the ovary in the abdominal cavity.

compromised blood supply to the ovaries

increased risk of cyst formation

ovarian torsion

polycystic ovarian syndrome

Which of the following is an easy way to identify transpositioned ovaries?