Laparoscopic Assisted Extracorporeal Ovarian Harvest: A Novel Technique to Optimize Ovarian Tissue for Cryopreservation in Young Females with Cancer.
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In brief
In brief
Novel laparoscopic technique enables safe ovarian tissue harvest for fertility preservation in pediatric cancer patients by externalizing the ovary through a 12mm port for precise tissue excision. This extracorporeal approach minimizes tissue injury while optimizing specimen quality for cryopreservation, offering improved outcomes for young females facing gonadotoxic cancer therapy.
Written by the GCMD Library team from the article.
Abstract
Background
Advances in pediatric cancer therapy have improved the long-term survival for many children with cancer. The awareness of quality of life aspects, specifically fertility preservation, has become a reality for many of these families and children. Ovarian tissue cryopreservation has emerged as an available fertility option for young females with cancer. Safe and effective removal of ovarian tissue in these girls is paramount. We report a laparoscopic assisted extracorporeal ovarian harvest technique that achieves this goal.
Operative technique
We place a 5 mm port at the umbilicus and in the right lower quadrant. Under laparoscopic guidance we place a 12 mm port in the left suprapubic area. Utilizing the 12 mm port site a monofilament traction suture is placed through the left ovary. The traction suture is used to translocate the ovary to an extracorporeal position via the 12 mm port site. Ovarian tissue is then excised utilizing standard surgical technique with the scalpel. Hemostasis is obtained and the capsule is closed with a running absorbable suture. The ovary is placed back in its native position laparoscopically.
Conclusions
The use of this extracorporeal ovarian harvesting technique is a safe and effective method to optimize removal and minimize tissue injury. Utilization of this technique, may have potential benefit to the young female with cancer.