Article ID Journal Published Year Pages File Type
3940775 Fertility and Sterility 2006 8 Pages PDF
Abstract

ObjectiveTo determine the efficiency of intact ovary after cryopreservation and transplantation in a rabbit model for limited longevity by revascularization ischemia after implantation of frozen-thawed ovarian tissue. Transplantation of an intact frozen ovary with microvascular anastomos has been shown to be feasible with modern cryobiology and microsurgery.DesignAnimal study.SettingUniversity-based teaching hospital.Animal(s)Twelve 5-month-old mature female New Zealand White rabbits.Intervention(s)After bilateral oophorectomy with one ovary saved as a control in formalin-fixed and hematoxylin and eosin–stained paraffin sections, the contralateral intact ovary was used for autologous heterotopic transplantation after freezing and thawing.Main Outcome Measure(s)Density of primordial follicles 6 months after transplantation was measured. Hormone levels and vaginal cytology were followed throughout the oophorectomy and transplantation period.Result(s)Ten of 12 rabbits had restored ovarian function 1 week after transplantation of their intact cryopreserved ovary. At the 6-month posttransplantation follow-up, mean primordial follicle density was statistically significantly lower in the experimental than in the control ovaries (13.99 ± 3.21 vs. 18.68 ± 3.86 per high-power field). The remaining two rabbits, which had cracked mesentery fat adjacent to the ovary after thawing, never regained ovarian function.Conclusion(s)With microsurgery, cryopreservation of an intact rabbit ovary followed by autologous transplantation may overcome revascularization-associated ischemia to save primordial follicles and attain reasonable graft longevity.

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