Surgical Film Library-Ovarian Transposition

Video Transcription

Video Summary

Dr. Sushmita Gordhanas from Memorial Sloan Kettering presents on ovarian transposition, a surgical procedure relocating ovaries outside radiation fields to preserve fertility and hormonal function in pelvic cancer patients. Radiation doses often exceed sterilizing thresholds, risking ovarian failure. Studies show ovarian survival depends on age and radiation type, with higher survival after brachytherapy than external beam radiation. Risks include metastasis and surgical complications, necessitating collaboration between surgeons and fertility specialists. A presented case involved a 31-year-old with rectal cancer undergoing lateral ovarian transposition, carefully dissecting and securing ovaries above radiation zones. Future research aims to survey gynecologic oncologists on practice patterns to improve patient guidance.

Asset Subtitle

Sushmita Gordhandas, United States

Meta Tag

Procedure Type Ovarian transposition technique

Route MIS-Robotic

Skill Level Novice

Surgical Location Mid-abdomen

Keywords

MIS-Robotic

Mid-abdomen

Novice

Ovarian transposition technique

ovarian transposition

fertility preservation

pelvic cancer

radiation therapy

gynecologic oncology