Post Show Quiz Ovarian Transposition
Which of the following is the primary purpose of ovarian transposition?
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
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.
Where are ovaries normally repositioned?
Sub-Diaphragm
Posterior uterus
above pelvic brim, and as lateral as possible along wall of abdomen
paracolic gutters
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
Transpositioned ovaries are prone to the same pathology as normal ovaries
True
False
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.
Which of the following is a proposed long-term complication of ovarian transposition?
compromised blood supply to the ovaries
increased risk of cyst formation
ovarian torsion
polycystic ovarian syndrome
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.
Which of the following is an easy way to identify transpositioned ovaries?
Majority of transpositioned ovaries will contain cysts
Surgical clips are normally present
They are normally done only on one side
Often times, the ovaries are marked with surgical clips and bilateral.
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