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International Journal of Reproductive Medicine
Volume 2013, Article ID 173568, 6 pages
http://dx.doi.org/10.1155/2013/173568
Review Article

The Need for Laparoscopic Ovarian Transposition in Young Patients with Cervical Cancer Undergoing Radiotherapy

Gynecologic Oncology Division, Department of OBGYN, Faculty of Medicine, University of Indonesia, Gedung A lt. 3, Medical Staff Wing Dr. Cipto Mangunkusumo Hospital, Jakarta 10430, Indonesia

Received 23 May 2013; Accepted 10 October 2013

Academic Editor: Dimitrios Loutradis

Copyright © 2013 Hariyono Winarto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Maintaining the quality of life by preserving ovarian function in premenopausal patients with cervical cancer undergoing radiation is crucial. This can be accomplished with a simple and safe laparoscopic ovarian transposition procedure. This procedure aims to move the ovary out of the irradiation field, protecting it from direct radiation and irreversible damage and preserving its function. However, this procedure is often forgotten and seldom offered to patients. This review aims to lay stress on and reconsider the importance of laparoscopic ovarian transposition as a simple, safe, and extremely useful procedure. The biological effects of radiation are described briefly and several studies are evaluated, which reveal that this procedure has more benefits than risks.