Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study

ABSTRACT Background Studying ovaries and follicles in detail is crucial to understanding their normal function and identifying factors contributing to ovarian disease and infertility. However, obtaining ovarian tissue for research is challenging, and instead of entire ovaries, small biopsies are oft...

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Main Authors: Ilmatar Rooda, Susanna Alder, Leonora Tebani, Sebastian Gidlöf, Catarina Arnelo, Karin Pettersson, Pauliina Damdimopoulou
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Reproductive, Female and Child Health
Subjects:
Online Access:https://doi.org/10.1002/rfc2.70016
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author Ilmatar Rooda
Susanna Alder
Leonora Tebani
Sebastian Gidlöf
Catarina Arnelo
Karin Pettersson
Pauliina Damdimopoulou
author_facet Ilmatar Rooda
Susanna Alder
Leonora Tebani
Sebastian Gidlöf
Catarina Arnelo
Karin Pettersson
Pauliina Damdimopoulou
author_sort Ilmatar Rooda
collection DOAJ
description ABSTRACT Background Studying ovaries and follicles in detail is crucial to understanding their normal function and identifying factors contributing to ovarian disease and infertility. However, obtaining ovarian tissue for research is challenging, and instead of entire ovaries, small biopsies are often collected. In this study, we aimed to assess the surgical safety of ovarian biopsy by analyzing a retrospective cohort. Methods This study, conducted at Karolinska University Hospital, includes 331 women who donated ovarian biopsies during elective caesarean sections (2016–2022), compared to 2237 women who underwent the same procedure without donating tissue. The study group ranged in age from 21.5 to 46.8 years, while the reference group ranged from 15.3 to 56.3 years. Surgical and patient data were extracted from medical records (study group: September 2022–March 2023) and the Swedish Pregnancy Registry (reference group: November 2023). All data were pseudonymized to ensure confidentiality. Results Our analysis indicates that ovarian biopsy collection is safe, with no significant increase in bleeding or hospitalization time. Furthermore, women who donated biopsies showed no significant differences in health characteristics compared to those who did not. However, due to the relatively recent start of the cohort, no long‐term follow‐up analysis could be conducted, which is a limitation of this study. Conclusion Overall, our findings suggest that ovarian tissue biopsies collected during elective caesarean sections are both safe and representative, supporting their use in research to enhance our understanding of human ovarian biology.
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spelling doaj-art-7d09a0e909ee44ca99f2d2fa9d6c20b42025-08-20T02:10:28ZengWileyReproductive, Female and Child Health2768-72282025-03-0141n/an/a10.1002/rfc2.70016Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort StudyIlmatar Rooda0Susanna Alder1Leonora Tebani2Sebastian Gidlöf3Catarina Arnelo4Karin Pettersson5Pauliina Damdimopoulou6Department of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenDepartment of Clinical Science, Intervention and Technology Unit for Obstetrics and Gynecology, Karolinska Institutet Stockholm SwedenDepartment of Clinical Science, Intervention and Technology Unit for Obstetrics and Gynecology, Karolinska Institutet Stockholm SwedenDepartment of Gynecology and Reproductive Medicine Karolinska University Hospital Stockholm SwedenABSTRACT Background Studying ovaries and follicles in detail is crucial to understanding their normal function and identifying factors contributing to ovarian disease and infertility. However, obtaining ovarian tissue for research is challenging, and instead of entire ovaries, small biopsies are often collected. In this study, we aimed to assess the surgical safety of ovarian biopsy by analyzing a retrospective cohort. Methods This study, conducted at Karolinska University Hospital, includes 331 women who donated ovarian biopsies during elective caesarean sections (2016–2022), compared to 2237 women who underwent the same procedure without donating tissue. The study group ranged in age from 21.5 to 46.8 years, while the reference group ranged from 15.3 to 56.3 years. Surgical and patient data were extracted from medical records (study group: September 2022–March 2023) and the Swedish Pregnancy Registry (reference group: November 2023). All data were pseudonymized to ensure confidentiality. Results Our analysis indicates that ovarian biopsy collection is safe, with no significant increase in bleeding or hospitalization time. Furthermore, women who donated biopsies showed no significant differences in health characteristics compared to those who did not. However, due to the relatively recent start of the cohort, no long‐term follow‐up analysis could be conducted, which is a limitation of this study. Conclusion Overall, our findings suggest that ovarian tissue biopsies collected during elective caesarean sections are both safe and representative, supporting their use in research to enhance our understanding of human ovarian biology.https://doi.org/10.1002/rfc2.70016caesarean sectionhealthovarian biopsyovarysafety
spellingShingle Ilmatar Rooda
Susanna Alder
Leonora Tebani
Sebastian Gidlöf
Catarina Arnelo
Karin Pettersson
Pauliina Damdimopoulou
Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
Reproductive, Female and Child Health
caesarean section
health
ovarian biopsy
ovary
safety
title Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
title_full Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
title_fullStr Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
title_full_unstemmed Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
title_short Surgical Safety and Characteristics of Patients Donating Ovarian Biopsies During Elective Caesarean Sections: Insights From a Swedish Cohort Study
title_sort surgical safety and characteristics of patients donating ovarian biopsies during elective caesarean sections insights from a swedish cohort study
topic caesarean section
health
ovarian biopsy
ovary
safety
url https://doi.org/10.1002/rfc2.70016
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