CPT® Code 58825

Transposition of the ovaries is a surgical procedure aimed at relocating the ovaries to a position that minimizes their exposure to radiation during cancer treatment. This procedure is particularly relevant for women of child-bearing age who are diagnosed with malignant neoplasms affecting gynecological structures or other cancers, such as colorectal cancer or Hodgkin's lymphoma. The primary goal of ovarian transposition is to preserve fertility by protecting the ovaries from the damaging effects of radiation therapy, which can lead to infertility or other reproductive issues. During the procedure, a surgical incision is made in the abdomen, allowing access to the ovaries. The surgical team carefully dissects the surrounding tissues to identify and protect the ovarian vessels and ureters, ensuring that the blood supply to the ovaries remains intact. The ovaries are then repositioned to a higher location in the abdominal cavity, specifically in the paracolic gutters, which are areas adjacent to the colon. This strategic placement is crucial as it places the ovaries outside the radiation treatment fields, thereby safeguarding their function and increasing the likelihood of preserving the patient's fertility post-treatment. Marking the ovaries with hemoclips further aids in their identification during follow-up imaging, ensuring that they remain outside the radiation portals throughout the course of therapy.