Ovarian Transposition Surgery Treatment

Gynecological cancer can affect both transgender men and women. However, it mostly affects women. It occurs due to growth and development of cancer cells  in the ovaries. Ovaries are small and oval-shaped glands, which are positioned in the female pelvis and attached with the uterus. The key objective is the production of eggs and hormones for the pregnancy and menstrual cycle. They are most essential for the female reproductive system. When they are affected due to a tumor, then gynecological cancer can develop in patients. This health condition becomes harmful for them and cannot be cured or diagnosed easily. 

This leads to ovarian cancer and can cause abdominal pain, fatigue, lump in pelvic area etc., in patients. It is a rare or severe for them if left untreated. Hence, doctors or a gynecologist recommend ovarian transposition surgery treatment to patients. Ovarian transposition is its best treatment method. It protects the ovaries from radiation therapy by moving them from the pelvis. This surgical procedure is beneficial for fertility preservation in females with pelvic radiation therapy. Its other name is Oophoropexy or ovariopexy. 

When Ovarian Transposition Surgery is Performed?

This surgery is recommended for dealing with certain conditions. These are as follows:

• Premature ovarian failure
• Pelvic radiation therapy
• Cardiovascular morbidity
• Vaginal atrophy
• Osteoporosis
• Gynecological cancer

Women with a higher risk of cervical cancer are not eligible for this surgical procedure. They must consult with their healthcare provider for this issue. 

Advantages of OTS

The benefits of this surgical procedure are as follows:

• It reduces radiation exposure of the ovaries which provides protection from premature menopause. 
• This approach increases the future fertility chances by preserving eggs and hormones in the ovaries.
• It is a safe and effective method for the lower abdomen and pelvic cancer treatments.
• The metastases risk becomes lower in the transposed ovaries.  

Risks Associated with OTS

Ovarian Transposition is safe but leads to several complications as other surgeries. These include the following:

• Secondary migration of ovaries in the pelvis
• Inability in pregnancy due to high dose of radiation
• Bleeding and infection
• Infarction of fallopian tube
• Ovarian cysts
• Chronic pain in ovaries
• Ovarian torsion
• Endometriosis

OTS Treatment Procedures

Before Surgery

The certain instructions that can be followed by the patients are:

• The loose-fitting clothes can be worn before surgery. If the patients can wear tight-fitting dresses then they feel uncomfortable and it may become problematic for them during surgery. 
• An individual can use the glasses instead of contact lenses. The eyes get damaged when he or she wears lenses during a surgical procedure. 
• The medication drugs which are prescribed by a healthcare provider can be taken before the procedure. A patient must avoid dalteparin, aspirin etc., since they are blood-thinning medication drugs and can cause bleeding in him or her. 
• Lotion, cream, perfume and other cosmetic products must be avoided before the surgery. They can cause bleeding, infection and some of them can be flammable which catches fire when electrical devices are used by the doctor during surgery. 
• Some metal objects such as body piercings, jewelry etc., must be avoided since they increase the risk of surgical burns during the process. 
• The credit cards must be kept at home since they are valuable items, which might be lost during surgical procedure. 
• The dentures, wig, hearing aids etc., must be removed when a patient is taken to the operating room for surgery. 

During Procedure

A surgeon uses several surgical techniques for this procedure. These are as follows:

1. Laparoscopy:

• A few small incisions can be created in the abdomen for the pelvic cavity identification. The miniature camera is used for this surgical procedure. It provides faster recovery and a patient can feel less pain. 

2. Robotic Surgery:

• The ovaries can be moved out of the radiation field for protection. It reduces intraoperative blood loss which is helpful for the improvement of surgical outcomes. 

3. Laparotomy:

• A surgeon can check your ovaries by making a long incision in the abdomen. 

After Procedure

The things that can be expected after the surgical procedure are as follows:

• A patient will be taken to a recovery room. The pulse, blood pressure, oxygen levels and temperature are being monitored carefully. 
• The medication will be provided for pain-relief. You can contact your nurse if it doesn’t get improved. 
• The steri-strips and dermabond can be used for closing small incisions in the abdomen. Before leaving the hospital, it is important for a patient to care for it. 
• Strenuous activities and heavy-lifting objects must be avoided after the surgical procedure.
• The lower legs are covered with compression boots. This reduces pain and swelling for the blood circulation improvement in patients. 
• A general diet must be followed after surgical procedure. 
• If a doctor allows a shower to you, then use it for 24 to 48 hours after surgery.