Department of Obstetrics and Gynecology and Perinatal Center, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan.
Fertil Steril. 2010 Nov;94(6):2330.e11-2. doi: 10.1016/j.fertnstert.2010.03.059. Epub 2010 May 5.
To report a case of successful orthotopic autotransplantation of fresh whole ovaries without vascular anastomosis.
Teaching hospital.
PATIENT(S): A 34-year-old pregnant woman underwent emergency Cesarean hysterectomy during which both ovaries were accidentally removed.
INTERVENTION(S): We performed fresh whole ovarian autotransplantation in the retroperitoneum, without vascular anastomosis.
MAIN OUTCOME MEASURE(S): Serial hormonal measurement of E2, P4, LH, and FSH serum levels.
RESULT(S): Follow-up during the 4.5 years since transplantation has shown that the patient's hormonal levels have remained functional.
CONCLUSION(S): Our case reveals that the retroperitoneal cavity provides an effective vascular bed for ovarian grafts. This is the first report of orthotopic autotransplantation of fresh whole ovaries without vascular anastomosis.
报告一例成功进行的未经血管吻合的新鲜完整卵巢原位自体移植。
教学医院。
一名 34 岁孕妇在紧急剖宫产术中意外切除了双侧卵巢。
我们在腹膜后腔进行了未经血管吻合的新鲜完整卵巢自体移植。
E2、P4、LH 和 FSH 血清水平的连续激素测量。
移植后 4.5 年的随访显示，患者的激素水平保持正常。
我们的病例表明，腹膜后腔为卵巢移植物提供了有效的血管床。这是首例未经血管吻合的新鲜完整卵巢原位自体移植的报告。
