Laparoscopic right oophoropexy in patient with prior left salpingo-oophorectomy

Four-year-old patient with a previous left salpingo-oophorectomy for ovarian torsion presents with an enlarged right ovary. Images from a right oophoropexy are shown, with the utero-ovarian ligament sewn to the uterosacral ligament.
(A) Initial anatomy.
(B) Suture is placed in the utero-ovarian ligament in order to shorten the length of the ligament.
(C) Suture in place.
(D) A second suture has been placed to further shorten the utero-ovarian ligament.