Abstract
One major part of surgery in uterus transplantation is surgery of the live donor. Early attempts have shown that this is the most challenging part of live donor uterus transplantation and the duration of donor surgery is around two times that of recipient surgery. Traditionally, live donor surgery was by laparotomy, but during the last few years minimal invasive surgery has gradually entered on the scene for donor surgery. Minimal invasive surgery has been both by traditional laparoscopy and by robotic-assisted laparoscopy. This chapter will review the technique of live donor surgery in uterus transplantation in detail. Complications that so far have been reported in donors will be discussed. There will be a continuous development in live donor surgery for uterus transplantation. These modifications will have positive impacts on surgical duration, tissue trauma, hospital stay, postoperative pain, time to return to common daily activities, and on rates of complications.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Brännström M, Johannesson L, Dahm-Kähler P, et al. The first clinical uterus transplantation trial: a six months report. Fertil Steril. 2014;101:1228–36.
Chmel R, Novackova M, Janousek L, et al. Revaluation and lessons learned from the first 9 cases of a Czech uterus transplantation trial: four deceased and five living donor uterus transplantations. Am J Transplant. 2019;3:855–64.
Díaz-García C, Johannesson L, Enskog A, et al. Uterine transplantation research: laboratory protocols for clinical application. Mol Hum Reprod. 2012;18:68–78.
Fageeh W, Raffa H, Jabbad H, Marzouki A. Transplantation of the human uterus. Int J Gynaecol Obstet. 2002;76:245–51.
Johannesson L, Enskog A, Mölne J, et al. Preclinical report on allogeneic uterus transplantation in non-human primates. Hum Reprod. 2013;28:189–98.
Puntambekar S, Telang M, Kulkarni P, et al. Laparoscopic-assisted uterus retrieval from live organ donors of uterine transplant; our experience of two patients. J Minim Invasive Gynecol. 2018;25:622–31.
Puntambekar S, Puntambekar S, Telang M, et al. Novel anastomotic technique for uterine transplant using utero-ovarian veins for venous drainage and internal iliac arteries for perfusion in two laparoscopically harvested uteri. J Minim Invasive Gynecol. 2019;4:628–35.
Testa G, Koon EC, Johannesson L, et al. Living donor uterus transplantation: a single center’s observations and lessons learned from early setbacks to technical success. Am J Transplant. 2017;17:2901–10.
Testa G, McKenna GJ, Gunby RT Jr, et al. First live birth after uterus transplantation in the United States. Am J Transplant. 2018;18:1270–4.
Wei L, Xue T, Tao KS, et al. Modified human uterus transplantation using ovarian veins for venous drainage: the first report of surgically successful robotic-assisted uterus procurement and follow-up for 12 months. Fertil Steril. 2017;108:346–56.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Brännström, M., Dahm-Kähler, P. (2020). Surgical Technique of Live Donor in Uterus Transplantation. In: Brännström, M. (eds) Uterus Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-94162-2_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-94162-2_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-94161-5
Online ISBN: 978-3-319-94162-2
eBook Packages: MedicineMedicine (R0)