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Vol. 47. Issue 8.
Pages 382-388 (January 2004)
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Vol. 47. Issue 8.
Pages 382-388 (January 2004)
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Combinación de 2 técnicas de transposición ovárica laparoscópica previa al tratamiento radioterápico de neoplasias pélvicas
Combination of 2 techniques of laparoscopic ovarian transposition prior to radiotherapy for pelvic neoplasms
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A. Urgala,
Corresponding author
urgala@hotmail.com

Correspondencia: Hospital Universitario Maternal La Fe. Servicio de Ginecología. Avda. de Campanar, 21. 46009 Valencia. España
, E. Cazorlaa, M. Lópeza, M. Marína, M. Sánchez-Gutiérreza, I. Petschenb, L. Ferreresa
a Servicio de Ginecología. Unidad de Endoscopia. Hospital Universitario La Fe. Valencia
b Servicio de Oncología Radioterápica. Hospital Universitario La Fe. Valencia. España
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Resumen

El tratamiento con radioterapia de masas pélvicas en mujeres jóvenes causa una alta incidencia de fallos ováricos precoces. Para evitarlo, existe la opción de transponer los ovarios fuera del campo de radiación. Exponemos el caso de 2 mujeres tratadas de un sarcoma de Ewing y de una recidiva de enfermedad de Hodgkin, respectivamente, que se sometieron a una transposición ovárica laparoscópica bilateral a las correderas cólicas, el ovario izquierdo a un nivel algo inferior para mantenerlo unido a su trompa. Esta técnica permite preservar la función ovárica a la vez que mantiene la posibilidad de futuros embarazos espontáneos

Palabras Clave:
Transposición ovárica
Ovariopexia
Laparoscopia
Cáncer pélvico
Radiación pélvica
Abstract

Treatment of pelvic masses with radiotherapy in young women causes a high incidence of premature ovarian failure. Transposing the ovaries out of the radiation field aims to avoid this situation. We report the cases of 2 women treated for Ewing’s sarcoma and recurrent Hodgkin’s disease, respectively, who underwent laparoscopic bilateral ovarian transposition in the paracolic gutters; the left ovary was transposed to a lower level to keep it connected to its tube. This technique allows preservation of ovarian function and the possibility of a spontaneous pregnancy in the future

Key Words:
Ovarian transposition
Ovariopexy
Laparoscopy
Pelvic cancer
Pelvic radiation
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Copyright © 2004. Sociedad Española de Ginecología y Obstetricia
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