tailieunhanh - báo cáo khoa học: " Ovarian cryopreservation after laparoscopic ovariectomy using the Endo-GIA stapling device and LAPRO-clip absorbable ligating clip in a woman: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Ovarian cryopreservation after laparoscopic ovariectomy using the Endo-GIA stapling device and LAPRO-clip absorbable ligating clip in a woman: a case report | Roux et al. Journal of Medical Case Reports 2011 5 48 http content 5 1 48 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Ovarian cryopreservation after laparoscopic ovariectomy using the Endo-GIA stapling device and LAPRO-clip absorbable ligating clip in a woman a case report 1 1 3 z r-s m Isabelle Roux Michael Grynberg Jenna Linehan Alexandra Messner Xavier Deffieux Abstract Introduction Several options are available for preserving fertility before cytotoxic treatment including ovarian tissue cryopreservation. Most reported surgical techniques include electrocoagulation. Our hypothesis is that avoidance of electrocoagulation may decrease ovarian cortex injury during cryopreservation procedures. Case presentation We report a laparoscopic technique of whole-ovary removal without coagulation using Endo-GIA forceps and clips. Laparoscopic ovariectomy was performed for cryopreservation in a 37-year-old Caucasian woman with breast cancer and for whom chemotherapy was planned. The procedure was completed quickly and without complication. This Endo-GIA procedure was of short duration with a short period of ischemia before freezing. Conclusion Laparoscopic ovariectomy using the Endo-GIA stapling device procedure without coagulation may diminish ovary injury before ovarian cryopreservation. Introduction Several options are available for preserving fertility before cytotoxic treatment namely embryo cryopreservation oocyte cryopreservation and ovarian tissue cryopreservation. Embryo cryopreservation results in good pregnancy rates but the patient needs to be of pubertal or postpubertal age have a p artner and be able to undergo a cycle of ovarian stimulation 1 . Ovarian stimulation is not possible when chemotherapy cannot be delayed or when stimulation is contraindicated. Ovarian tissue transplantation after cryopreservation is an option despite being an experimental technique with few live births reported 2 . Either a part of .