Orthotopic transplantation of fresh ovarian cortex: a report of two cases

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Two cases of orthotopic ovarian cortex transplantation were performed, demonstrating successful revascularization and cryopreservation of ovarian tissue for potential future fertility restoration.

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Abstract

OBJECTIVE: To report two cases of orthotopic transplantation of fresh ovarian tissue. SETTING: Academic hospital. PATIENT(S): Two patients with severe endometriosis, who underwent left oophorectomy for recurrent endometriosis. INTERVENTION(S): Ovarian cortex was reimplanted in the heterolateral orthotopic site. RESULT(S): Biopsies of the grafted tissue were taken 3 months after reimplantation. Viable primordial follicles were found. The presence of a neovascular capillary network was demonstrated. CONCLUSION(S): Reimplantation of fresh ovarian cortex allows the survival of primordial follicles and may represent an alternative method for the preservation of ovarian cortex when oophorectomy is mandatory.

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MeSH descriptors

Ovariectomy Ovary Adult Adult Female Female Humans Humans Ovariectomy Ovariectomy Ovary Ovary Ovary Tissue Transplantation Tissue Transplantation Transplantation, Autologous Transplantation, Autologous

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Cited by (29)

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europepmc
last seen: 2026-10-10T06:11:15.153948+00:00
openalex
last seen: 2026-06-04T00:00:01.174412+00:00
pubmed
last seen: 2026-10-08T21:03:24.829172+00:00
License: CC0 · commercial use OK