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Published in: Archives of Gynecology and Obstetrics 3/2016

01-03-2016 | General Gynecology

Laparoscopic ovariectomy by single-port access for ovarian cryopreservation

Authors: Blandine Courbiere, Patrice Crochet, Maxime Marcelli, Jacqueline Saias-Magnan, Jean Marie Grillo, Aubert Agostini

Published in: Archives of Gynecology and Obstetrics | Issue 3/2016

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Abstract

Purpose

The aim of this study is to assess the feasibility of ovariectomy by single-port access laparoscopy for cryopreservation.

Methods

Observational prospective monocentric study including patients referred for an ovariectomy for ovarian tissue cryopreservation underwent ovariectomy by single-port access laparoscopy. Feasibility, intra- and post-operative complications, and quality of the ovarian tissue collected were reported.

Results

Height patients were included. No conversion to standard laparoscopy or laparotomy was performed and no intra- or post-operative complications were reported. Median duration of surgery was 35 min (30–60). The quality of all the ovarian tissue collected was correct, and cryopreservation was possible for all patients.

Conclusions

Ovariectomy for cryopreservation by laparoscopy with SPA seems feasible. The advantages of this technique are particularly interesting in these patients who require the least aggressive surgical technique possible and a rapid convalescence.
Literature
1.
go back to reference Donnez J, Dolmans MM, Demylle D, Jadoul P, Pirard C, Squifflet J, Martinez-Madrid B, van Langendonckt A (2004) Livebirth after orthotopic transplantation of cryopreserved ovarian tissue. Lancet 364:1405–1410CrossRefPubMed Donnez J, Dolmans MM, Demylle D, Jadoul P, Pirard C, Squifflet J, Martinez-Madrid B, van Langendonckt A (2004) Livebirth after orthotopic transplantation of cryopreserved ovarian tissue. Lancet 364:1405–1410CrossRefPubMed
2.
go back to reference Meirow D, Baum M, Yaron R, Levron J, Hardan I, Schiff E, Nagler A, Yehuda DB, Raanani H, Hourvitz A, Dor J (2007) Ovarian tissue cryopreservation in hematologicmalignancy: ten years’ experience. Leuk Lymphoma 48:1569–1576CrossRefPubMed Meirow D, Baum M, Yaron R, Levron J, Hardan I, Schiff E, Nagler A, Yehuda DB, Raanani H, Hourvitz A, Dor J (2007) Ovarian tissue cryopreservation in hematologicmalignancy: ten years’ experience. Leuk Lymphoma 48:1569–1576CrossRefPubMed
3.
go back to reference Donnez J, Dolmans MM, Demylle D, Jadoul P, Pirard C, Squifflet J, Martinez-Madrid B, Van Langendonckt A (2008) Restoration of ovarian function after orthotopic (intraovarian and periovarian) transplantation of cryopreserved ovarian tissue: a pilot experience. Reprod Biomed 16:694–704CrossRef Donnez J, Dolmans MM, Demylle D, Jadoul P, Pirard C, Squifflet J, Martinez-Madrid B, Van Langendonckt A (2008) Restoration of ovarian function after orthotopic (intraovarian and periovarian) transplantation of cryopreserved ovarian tissue: a pilot experience. Reprod Biomed 16:694–704CrossRef
4.
go back to reference Kim SS, Hwang IT, Lee HC (2004) Heterotopic autotransplantation of cryobanked human ovarian tissue as a strategy to restore ovarian function. Fertil Steril 82:930–932CrossRefPubMed Kim SS, Hwang IT, Lee HC (2004) Heterotopic autotransplantation of cryobanked human ovarian tissue as a strategy to restore ovarian function. Fertil Steril 82:930–932CrossRefPubMed
5.
go back to reference Jadoul P, Donnez J, Dolmans MM, Squifflet J, Lengele B, Martinez-Madrid B (2007) Laparoscopic ovariectomy for whole human ovary cryopreservation: technical aspects. Fertil Steril 87:971–975CrossRefPubMed Jadoul P, Donnez J, Dolmans MM, Squifflet J, Lengele B, Martinez-Madrid B (2007) Laparoscopic ovariectomy for whole human ovary cryopreservation: technical aspects. Fertil Steril 87:971–975CrossRefPubMed
6.
go back to reference Mayerhofer K, Ott J, Nouri K, Stoegbauer L, Fischer EM, Lipovac M, Promberger R, Huber JC (2010) Laparoscopic ovarian tissue harvesting for cryopreservation: an effective and safe procedure for fertility preservation. Eur J Obstet Gynecol Reprod Biol 152:68–72CrossRefPubMed Mayerhofer K, Ott J, Nouri K, Stoegbauer L, Fischer EM, Lipovac M, Promberger R, Huber JC (2010) Laparoscopic ovarian tissue harvesting for cryopreservation: an effective and safe procedure for fertility preservation. Eur J Obstet Gynecol Reprod Biol 152:68–72CrossRefPubMed
7.
go back to reference Uppal S, Frumovitz M, Escobar P, Ramirez PT (2011) Laparoendoscopic single-site surgery in gynecology: review of literature and available technology. J Minim Invasive Gynecol 18:12–23PubMedCentralCrossRefPubMed Uppal S, Frumovitz M, Escobar P, Ramirez PT (2011) Laparoendoscopic single-site surgery in gynecology: review of literature and available technology. J Minim Invasive Gynecol 18:12–23PubMedCentralCrossRefPubMed
8.
go back to reference Fagotti A, Bottoni C, Vizzielli G, Alletti SG, Scambia G, Marana E, Fanfani F (2011) Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 96:255–259CrossRefPubMed Fagotti A, Bottoni C, Vizzielli G, Alletti SG, Scambia G, Marana E, Fanfani F (2011) Postoperative pain after conventional laparoscopy and laparoendoscopic single site surgery (LESS) for benign adnexal disease: a randomized trial. Fertil Steril 96:255–259CrossRefPubMed
9.
go back to reference Courbière B, Agostini A, Cravello L, Gamerre M (2007) How to perform… an ovariectomy for ovarian cryopreservation in the aim of an orthotopic ovarian autograft. Gynecol Obstet Fertil 35:684–685CrossRefPubMed Courbière B, Agostini A, Cravello L, Gamerre M (2007) How to perform… an ovariectomy for ovarian cryopreservation in the aim of an orthotopic ovarian autograft. Gynecol Obstet Fertil 35:684–685CrossRefPubMed
10.
go back to reference Escobar PF, Starks DC, Fader AN, Barber M, Rojas-Espalliat L (2010) Single-port risk-reducing salpingo-oophorectomy with and without hysterectomy: surgical outcomes and learning curve analysis. Gynecol Oncol 119:43–47CrossRefPubMed Escobar PF, Starks DC, Fader AN, Barber M, Rojas-Espalliat L (2010) Single-port risk-reducing salpingo-oophorectomy with and without hysterectomy: surgical outcomes and learning curve analysis. Gynecol Oncol 119:43–47CrossRefPubMed
11.
go back to reference Lee YY, Kim TJ, Kim CJ, Park HS, Choi CH, Lee JW, Lee JH, Bae DS, Kim BG (2010) Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes. Eur J Obstet Gynecol Reprod Biol 151:181–184CrossRefPubMed Lee YY, Kim TJ, Kim CJ, Park HS, Choi CH, Lee JW, Lee JH, Bae DS, Kim BG (2010) Single port access laparoscopic adnexal surgery versus conventional laparoscopic adnexal surgery: a comparison of peri-operative outcomes. Eur J Obstet Gynecol Reprod Biol 151:181–184CrossRefPubMed
12.
go back to reference Lazard A, Poizac S, Courbiere B, Cravello L, Gamerre M, Agostini A (2011) Cornual resection for interstitial pregnancy by laparoendoscopic single-site surgery. Fertil Steril 95(2432):e5–e8PubMed Lazard A, Poizac S, Courbiere B, Cravello L, Gamerre M, Agostini A (2011) Cornual resection for interstitial pregnancy by laparoendoscopic single-site surgery. Fertil Steril 95(2432):e5–e8PubMed
13.
go back to reference Roux I, Grynberg M, Linehan J, Messner A, Deffieux X (2011) Ovarian cryopreservation after laparoscopic ovariectomy using the Endo-GIA stapling device and LAPRO-clip absorbable ligating clip in a woman: a case report. J Med Case Reports 5:48PubMedCentralCrossRef Roux I, Grynberg M, Linehan J, Messner A, Deffieux X (2011) Ovarian cryopreservation after laparoscopic ovariectomy using the Endo-GIA stapling device and LAPRO-clip absorbable ligating clip in a woman: a case report. J Med Case Reports 5:48PubMedCentralCrossRef
14.
go back to reference Poizac S, Estrade JP, Marcelli M, Lazard A, Cravello L, Blanc B, Gamerre M, Agostini A (2011) Single laparoscopic access: initial experience. Gynecol Obstet Fertil. 39:541–544CrossRefPubMed Poizac S, Estrade JP, Marcelli M, Lazard A, Cravello L, Blanc B, Gamerre M, Agostini A (2011) Single laparoscopic access: initial experience. Gynecol Obstet Fertil. 39:541–544CrossRefPubMed
15.
go back to reference Nuñez MJ, Padilla-Iserte P, Higueras G, Herraiz S, Rubio JM, Romeu M, Pellicer A, Díaz-García C (2014) Single site laparoscopy for fertility preservation. A cohort study. J Minim Invasive Gynecol (pii: S1553-4650(14)01482-4) Nuñez MJ, Padilla-Iserte P, Higueras G, Herraiz S, Rubio JM, Romeu M, Pellicer A, Díaz-García C (2014) Single site laparoscopy for fertility preservation. A cohort study. J Minim Invasive Gynecol (pii: S1553-4650(14)01482-4)
Metadata
Title
Laparoscopic ovariectomy by single-port access for ovarian cryopreservation
Authors
Blandine Courbiere
Patrice Crochet
Maxime Marcelli
Jacqueline Saias-Magnan
Jean Marie Grillo
Aubert Agostini
Publication date
01-03-2016
Publisher
Springer Berlin Heidelberg
Published in
Archives of Gynecology and Obstetrics / Issue 3/2016
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-015-3839-2

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