Pascale Jadoul, M. D. , Jacques Donnez, M. D. , Ph. D

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Presentation transcript:

Laparoscopic ovariectomy for whole human ovary cryopreservation: technical aspects Pascale Jadoul, M.D., Jacques Donnez, M.D., Ph.D., Marie-Madeleine Dolmans, M.D., Ph.D., Jean Squifflet, M.D., Benoît Lengele, M.D., Ph.D., Belen Martinez-Madrid, V.M.D., Ph.D. Fertility and Sterility Volume 87, Issue 4, Pages 971-975 (April 2007) DOI: 10.1016/j.fertnstert.2006.10.012 Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 1 The broad ligament is opened between the infundibulopelvic ligament and the round ligament. A, ureter; B, ovarian pedicle; C, fallopian tube. Jadoul. Laparoscopic ovariectomy for cryopreservation. Fertil Steril 2007. Fertility and Sterility 2007 87, 971-975DOI: (10.1016/j.fertnstert.2006.10.012) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 2 The ovarian pedicle is dissected cranially as high as possible, above the iliac vessels and psoas muscle. A, psoas muscle; B, ovarian pedicle; C, left iliac artery; D, ureter. Jadoul. Laparoscopic ovariectomy for cryopreservation. Fertil Steril 2007. Fertility and Sterility 2007 87, 971-975DOI: (10.1016/j.fertnstert.2006.10.012) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 3 The ovarian pedicle is clamped with three vascular clips. A, psoas muscle; B, clipped ovarian pedicle. Jadoul. Laparoscopic ovariectomy for cryopreservation. Fertil Steril 2007. Fertility and Sterility 2007 87, 971-975DOI: (10.1016/j.fertnstert.2006.10.012) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions

FIGURE 4 In the operating room, the ovarian artery (A) is catheterized under operative microscopic control and perfused. Liquid outflow allows identification of the ovarian veins (V) and their further microdissection. Jadoul. Laparoscopic ovariectomy for cryopreservation. Fertil Steril 2007. Fertility and Sterility 2007 87, 971-975DOI: (10.1016/j.fertnstert.2006.10.012) Copyright © 2007 American Society for Reproductive Medicine Terms and Conditions