A technique for laparoscopic transplantation of frozen-banked ovarian tissue

Abstract

Objective: To describe a laparoscopic technique for transplanting frozen-banked ovarian tissue.

Design: Case study.

Setting: Academic medical center.

Patient(s): A patient whose ovarian tissue was previously frozen with the slow-freeze technique.

Intervention(s): Microsurgical reconstruction of ovarian cortex and its laparoscopic transplantation to the ovarian fossa.

Main outcome measure(s): Blood flow to the grafts by doppler, follicle development and ovulation by ultrasound, E(2) and progesterone production, and resumption of spontaneous menses.

Result(s): The patient ovulated and menstruated 4 months after the transplant in response to ovarian stimulation with menopausal gonadotropins.

Conclusion(s): Laparoscopic transplantation of frozen-banked ovarian tissue beneath the pelvic peritoneum can restore ovarian function.