Description

What is Laparoscopic Oophoropexy? Laparoscopic oophoropexy is a minimally invasive surgical procedure designed to reposition and fix the ovaries in a more favorable location within the pelvis. This procedure is primarily performed to preserve ovarian function, prevent torsion, or improve fertility outcomes. Using laparoscopy, surgeons make small incisions and use specialized instruments to access and secure the ovaries with minimal trauma. Indications for Oophoropexy Oophoropexy is recommended in several clinical scenarios, including: Ovarian torsion prevention – In patients with a history of ovarian torsion or increased risk due to enlarged ovaries, cysts, or elongated ovarian ligaments. Fertility preservation during pelvic radiation – Women undergoing pelvic radiation for cancer may benefit from ovarian transposition to protect ovarian function. Congenital malformations or anatomical variations – In cases where ovarian positioning contributes to pain, infertility, or risk of torsion. Post-surgical prevention – After procedures that increase the mobility of the ovaries. Advantages of Laparoscopic Approach Compared to open surgery, laparoscopic oophoropexy offers numerous benefits: Minimal scarring – Tiny incisions heal quickly and leave only small marks. Reduced post-operative pain – Less tissue trauma leads to faster recovery. Shorter hospital stay – Most patients can return home within 24 hours. Quick return to daily activities – Recovery is typically faster than traditional surgery. Enhanced precision – The laparoscope provides a magnified view, allowing careful manipulation of delicate ovarian tissue. Procedure Overview Preparation – Patients are placed under general anesthesia, and the abdomen is sterilized. Access – Small incisions (usually 0.5–1 cm) are made in the abdomen to insert the laparoscope and surgical instruments. Assessment – The surgeon examines the ovaries, fallopian tubes, and surrounding structures. Oophoropexy – The ovary is repositioned and secured to the pelvic wall, uterus, or other supportive structures using sutures or fixation techniques. Closure – Instruments are removed, and incisions are closed with fine sutures. Recovery and Aftercare Patients may experience mild abdominal discomfort or bloating for a few days. Light activities can typically resume within 1–2 days; strenuous activity should be avoided for 1–2 weeks. Follow-up imaging may be recommended to ensure proper ovarian positioning. Pain, fever, or unusual vaginal discharge should prompt immediate consultation. Outcomes and Benefits Laparoscopic oophoropexy is generally highly successful in: Preserving ovarian function Preventing recurrent ovarian torsion Supporting fertility, particularly in women undergoing cancer treatment Reducing post-operative complications compared to open surgery Conclusion Laparoscopic oophoropexy is a safe, effective, and fertility-preserving surgical option for women at risk of ovarian torsion or requiring ovarian transposition. With modern laparoscopic techniques, this procedure offers faster recovery, minimal discomfort, and excellent long-term outcomes, making it a preferred choice for patients and surgeons alike.