Ovarian Tissue Cryopreservation for Benign Gynecologic Disease: A Case of Ovarian Torsion and Review of the Literature

Abstract Ovarian tissue cryopreservation (OTC) is an emerging method for fertility preservation. Although OTC has been previously proposed for benign indications, to our knowledge this is the first report highlighting the use of OTC for the indication of ovarian torsion. A 36-year-old nulligravid wo...

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Veröffentlicht in:Journal of minimally invasive gynecology 2016-03, Vol.23 (3), p.446-449
Hauptverfasser: Hickman, Lisa C., MD, Uy-Kroh, Mary Jean, MD, Chiesa-Vottero, Andres, MD, Desai, Nina, PhD, Flyckt, Rebecca, MD
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container_end_page 449
container_issue 3
container_start_page 446
container_title Journal of minimally invasive gynecology
container_volume 23
creator Hickman, Lisa C., MD
Uy-Kroh, Mary Jean, MD
Chiesa-Vottero, Andres, MD
Desai, Nina, PhD
Flyckt, Rebecca, MD
description Abstract Ovarian tissue cryopreservation (OTC) is an emerging method for fertility preservation. Although OTC has been previously proposed for benign indications, to our knowledge this is the first report highlighting the use of OTC for the indication of ovarian torsion. A 36-year-old nulligravid woman with a history of recurrent ovarian torsion presented with an acute episode of ovarian torsion confirmed by ultrasound. She requested a laparoscopic oophorectomy because her previous oophoropexy had failed, and in light of this was counseled to undergo concurrent OTC. On laparoscopy, 10 strips of ovarian cortex were obtained. A portion of this tissue was sent for pathological analysis, which revealed a primordial follicle density of 167 follicles/mm3 , a primary follicle density of 38 follicles/mm3 , and minimal ischemic damage. Although the clinical application of OTC continues to evolve and requires further investigation, the possibility of expanding the indications for benign gynecologic conditions is promising.
doi_str_mv 10.1016/j.jmig.2015.12.011
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Although OTC has been previously proposed for benign indications, to our knowledge this is the first report highlighting the use of OTC for the indication of ovarian torsion. A 36-year-old nulligravid woman with a history of recurrent ovarian torsion presented with an acute episode of ovarian torsion confirmed by ultrasound. She requested a laparoscopic oophorectomy because her previous oophoropexy had failed, and in light of this was counseled to undergo concurrent OTC. On laparoscopy, 10 strips of ovarian cortex were obtained. A portion of this tissue was sent for pathological analysis, which revealed a primordial follicle density of 167 follicles/mm3 , a primary follicle density of 38 follicles/mm3 , and minimal ischemic damage. 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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Cryopreservation - methods
Fallopian Tube Diseases - surgery
Female
Fertility preservation
Fertility Preservation - methods
Humans
Laparoscopy
Obstetrics and Gynecology
Ovarian Diseases - surgery
Ovarian Follicle - pathology
Ovarian tissue cryopreservation
Ovarian torsion
Ovariectomy
Surgery
Torsion Abnormality - surgery
Treatment Outcome
title Ovarian Tissue Cryopreservation for Benign Gynecologic Disease: A Case of Ovarian Torsion and Review of the Literature
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