From: Outcomes of ovarian transposition in cervical cancer; an updated meta-analysis
 |  | Population and Intervention |  | Study groups | Outcomes | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|
First author, publication year | Study Design | Comments | Patients (N) | Type of ovarian transposition | Follow up (Median, range in months) | Surgery Only | Surgery + BR | Surgery +  EBRT ± BR | Retained Function | Cyst | Metastasis |
Hodel [36] 1982 | Retrospective | Stage 1B cervical cancer | 7 | Open | NR | 0 | 1 | 6 | 5 | 1 | 0 |
Husseinzadeh [17] 1984 | Prospective | 15/22 from surgery only group were included for which FSH levels were available | 19 | Open | NR | 15 | 0 | 4 | 17 | 0 | 0 |
Ploch [18] 1988 | Prospective | Focus on ovarian function only, additional analysis of location of transposed ovaries | 22 | Lap | 13 (2–23) | 5 | 5 | 12 | 15 | 0 | 0 |
Owens [19] 1989 | Retrospective | All but three patients had early-stage cervical cancer, one patient had unilateral OT | 14 | Open | 18 | 6 | 0 | 8 | 13 | 0 | 0 |
Chambers [21] 1990 | Retrospective | Stage 1 cervical cancer, description of lateral OT | 25 | Open (sc) | 14 (2–23) | 25 | 0 | 0 | 22 | 6 | 0 |
Van Beurden [39] 1990 | Retrospective | FSH levels were available for 6 patients | 6 | Open | 23 (10–36) | 0 | 0 | 6 | 1 | 0 | 0 |
Chambers [21] 1991 | Retrospective | Stage 1 cervical cancer, ovarian preservation causally related to estimated scattered dose to ovaries | 38 | Open | 35 | 24 | 0 | 14 | 27 | 7 | 0 |
Anderson [22] 1993 | Retrospective | Comparison with a non- transposition group | 82 | Open / Lap | 44 | 58 | 0 | 24 | 51 | 38 | 1 |
Bidzinski [23] 1993 | Prospective | Stage 1 cervical cancer, ultrasound examination showed distinct reduction of transposed ovary echo structure in 91% cases | 48 | Open | 41 (10–72) | 9 | 24 | 15 | 45 | 0 | 0 |
Feeney [24] 1995 | Retrospective | Ovarian function is reserved only in 50% of patients with postoperative BR | 132 | Lap | 24 | 104 | 0 | 28 | 115 | 4 | 2 |
Clough [6] 1996 | Prospective | Unilateral OT, success rate 100% in patients younger than 40 years old | 17 | Open | 23.6 (12–33) | 0 | 11 | 6 | 15 | 0 | 0 |
Covens [37] 1996 | Retrospective | Patients with 1B cervical cancer prior to RT | 3 | Open | 32 | 0 | 0 | 3 | 2 | 0 | 0 |
Fujiwara [25] 1997 | Retrospective | Description of a new technique for OT | 27 | Open (sc) | 27 (10–44) | 25 | 1 | 1 | 26 | 18 | 0 |
Morice 1998 | Prospective | Only 14/ 24 were included as they were repeated in other paper published by the same author | 14 | Lap | 6 | 0 | 10 | 4 | 11 | 0 | 0 |
Morice [26] 2000 | Prospective | 95/107 patients were included; 12 patients were lost on follow up | 95 | Lap | 31 (10–56) | 11 | 59 | 25 | 79 | 25 | 1 |
Buekers [27] 2001 | Retrospective | Stage 1 cervical cancer, 27 women had unilateral oophorectomy for intraoperative suspicion or vascular compromise | 80 | Open | 87 (43–126) | 54 | 0 | 26 | 64 | 0 | 0 |
Olejek [28] 2001 | Prospective | Significance in ovarian preservation between RT and non-RT groups | 44 | Open | 60 | 19 | 6 | 19 | 31 | 3 | 0 |
Yamamoto [11] 2001 | Prospective | Regression analysis of risk factors for ovarian metastases | 56 | Open | 12 | 30 | 0 | 26 | 50 | 0 | 0 |
Nagao [29] 2006 | Retrospective | Subcutaneous fat OT, direct comparison to a non-transposition group | 27 | Open (sc) | 65 | 22 | 0 | 5 | 25 | 3 | 0 |
Pahisa [30] 2008 | Prospective | 24/28 patients with 1b1 cervical cancer were included for which follow up was available | 24 | Open / Lap | 44 | 13 | 6 | 5 | 20 | 2 | 0 |
Al-Badawi [31] 2010 | Retrospective | Stage 1–2 cervical cancer, 11/14 women were < 40 years old | 15 | Lap | 33 | 0 | 0 | 15 | 11 | 0 | 0 |
Han [38] 2011 | Retrospective | 19/29 patients with cervical cancer for which FSH was available | 19 | Open / Lap | 17.2 | 0 | 0 | 19 | 11 | 3 | 0 |
Hwang [32] 2012 | Retrospective | 39/53 patients were included; 14 patients were lost on follow up or FSH not available | 39 | Open / Lap | 39.8 | 8 | 0 | 31 | 18 | 1 | 0 |
Zhao [43] 2013 | Retrospective | Stage 1–2 cervical cancer, risk factors for ovarian metastases reported | 105 | Open | N/R | 105 | 0 | 0 | - | - | 2 |
Shou [40] 2015 | Retrospective | 6/26 patients with IIB-IIIB cervical cancer for which follow-up was available | 26 | Lap | N/R | 0 | 0 | 26 | 18 | - | 0 |
Du Z [33] 2017 | Retrospective | 52/86 patients had concurrent chemotherapy; the relationship between ovarian function and ovarian limited dose (IMRT) in radiotherapy was evaluated | 86 | Open | 6 | 21 | 0 | 13 | 34 | - | - |
Swift [34] 2018 | Retrospective | 9 patients with stage 1B1-2A cervical cancer, those who had chemoradiotherapy were excluded, description of a novel technique of laparoscopic lateral OT | 6 | lap | 8–103 | 2 | 0 | 4 | 6 | 1 | 0 |
Hoeckman [35] 2018 | Retrospective | 23 patients with cervical carcinoma | 23 | Open/lap | 34.5 (1.5–96) | 0 | 0 | 23 | 16 | 0 | 0 |
Lv [41] 2019 | Retrospective | 77/150 patients,45Â years who had complete follow-up, the association between the location of the transposed ovary and the ovarian dose was examined | 77 | Open | 12 | 0 | 0 | 77 | 56 | 0 | 0 |
Yin L [42] 2019 | Retrospective | 105/118 patients received limited dose IMRT | 118 | Open | 12 | 0 | 0 | 118 | 41 | - | 0 |
Total |  |  | 1160 |  | 2–126 | 449 | 132 | 579 | 819 | 125 | 4 |