Skip to main content
Top
Published in: Journal of Ovarian Research 1/2019

Open Access 01-12-2019 | Fibromatosis | Case report

Can ovaries be preserved after an ovarian arteriovenous disconnection? One case report and a review of surgical treatment using Da Vinci robots for aggressive ovarian fibromatosis

Authors: Jun Ying, Jiawen Feng, Jinghui Hu, Shuo Wang, Peilin Han, Yujie Huang, Wei Zhao, Jianhua Qian

Published in: Journal of Ovarian Research | Issue 1/2019

Login to get access

Abstract

Background

The ovary is an important organ of the female reproductive system, which produces oocytes and secretes reproductive hormones. Ovaries have complex dual blood supplies with their blood supply being the core component to protect and ensure ovarian function. Ovarian preservation surgery often encounters problems related to whether or not to preserve ovarian vessels on the affected side.

Case presentation

This study reports on the case of a 30-year-old female patient with the retroperitoneal fibromatosis that had a history of uterine leiomyoma. During the operation, the ovarian arteries and veins were separated according to what was found during the procedure. A postoperative examination demonstrated good function and morphology of the ovary.

Conclusions

A thorough review of academic journals combined with our collection of clinical data was conducted, which confirmed the double blood supply source to the ovaries. As a result of this exploration, a new surgical method is being proposed that is designed to protect the ovaries. By conducting this new procedure, the patient’s disease was not only halted and ultimately cured, but results demonstrate that the method was also able to retain the shape and function of the ovary. The postoperative satisfaction of the patient was significantly improved.
Literature
4.
go back to reference Tankshali R, Srivastava S, Anshuman K, Shah M. An unusual presentation of aggressive fibromatosis (retroperitoneal desmoid tumour) in pelvic cavity presented as obstructed labour. J Indian Med Assoc. 2011;109(8):589–91.PubMed Tankshali R, Srivastava S, Anshuman K, Shah M. An unusual presentation of aggressive fibromatosis (retroperitoneal desmoid tumour) in pelvic cavity presented as obstructed labour. J Indian Med Assoc. 2011;109(8):589–91.PubMed
6.
go back to reference Reitamo JJ, Hayry P, Nykyri E, Saxen E. The desmoid tumor. I. Incidence, sex-, age- and anatomical distribution in the Finnish population. Am J Clin Pathol. 1982;77(6):665–73.CrossRef Reitamo JJ, Hayry P, Nykyri E, Saxen E. The desmoid tumor. I. Incidence, sex-, age- and anatomical distribution in the Finnish population. Am J Clin Pathol. 1982;77(6):665–73.CrossRef
18.
go back to reference Taskin O, Birincioglu M, Aydin A, Buhur A, Burak F, Yilmaz I, et al. The effects of twisted ischaemic adnexa managed by detorsion on ovarian viability and histology: an ischaemia-reperfusion rodent model. Hum Reprod. 1998;13(1O):2823–7.CrossRef Taskin O, Birincioglu M, Aydin A, Buhur A, Burak F, Yilmaz I, et al. The effects of twisted ischaemic adnexa managed by detorsion on ovarian viability and histology: an ischaemia-reperfusion rodent model. Hum Reprod. 1998;13(1O):2823–7.CrossRef
19.
go back to reference Lagana AS, Sofo V, Salmeri FM, Palmara VI, Triolo O, Terzic MM, et al. Oxidative stress during ovarian torsion in pediatric and adolescent patients: changing the perspective of the disease. Int J Fertil Steril. 2016;9(4):416–23.PubMed Lagana AS, Sofo V, Salmeri FM, Palmara VI, Triolo O, Terzic MM, et al. Oxidative stress during ovarian torsion in pediatric and adolescent patients: changing the perspective of the disease. Int J Fertil Steril. 2016;9(4):416–23.PubMed
Metadata
Title
Can ovaries be preserved after an ovarian arteriovenous disconnection? One case report and a review of surgical treatment using Da Vinci robots for aggressive ovarian fibromatosis
Authors
Jun Ying
Jiawen Feng
Jinghui Hu
Shuo Wang
Peilin Han
Yujie Huang
Wei Zhao
Jianhua Qian
Publication date
01-12-2019
Publisher
BioMed Central
Keyword
Fibromatosis
Published in
Journal of Ovarian Research / Issue 1/2019
Electronic ISSN: 1757-2215
DOI
https://doi.org/10.1186/s13048-019-0528-y

Other articles of this Issue 1/2019

Journal of Ovarian Research 1/2019 Go to the issue