Vascular Pedicle Lengths After Hysterectomy: Toward Future Human Uterus Transplantation

@article{Johannesson2012VascularPL,
  title={Vascular Pedicle Lengths After Hysterectomy: Toward Future Human Uterus Transplantation},
  author={Liza Johannesson and Cesar Diaz-Garcia and Henrik Leonhardt and Pernilla Dahm-K{\"a}hler and Janusz Marcickiewicz and Michael Olausson and Mats Br{\"a}nnstr{\"o}m},
  journal={Obstetrics \& Gynecology},
  year={2012},
  volume={119},
  pages={1219–1225}
}
OBJECTIVE: To estimate uterine vessel lengths and diameters recovered at radical hysterectomy to assess prospects for direct vascular anastomosis bilaterally to the external iliacs in uterus transplantation, and thereby the feasibility of live uterus donation as a future treatment of absolute uterine factor infertility. METHODS: Patients (n=19; study group) undergoing radical hysterectomy for gynecologic malignancy participated. Preoperative magnetic resonance imaging (MRI) was performed in… 
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TLDR
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TLDR
This systematic review of the available evidence of the surgical techniques and outcomes of UTx in terms of graft survival recommended specific surgical techniques that best yield a successful transplant and reduce complications for donors and recipients.
Imaging evaluation of uterine arteries in potential living donors for uterus transplantation: a comparative study of MRA, CTA, and DSA
TLDR
MRI including MRA should be the initial modality to examine potential UTx donors to acquire valuable details of uterine anatomy, and if UAs are fully visualized, there is no need for further angiographic methods with radiation.
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TLDR
Open versus minimal invasive surgery in relation to the accumulated knowledge in the field of uterus transplantation is discussed and some future directions for the development of this surgery in UTx are proposed.
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TLDR
The accumulated research data from these trials will pave the way for establishment of uterus transplantation as a safe and efficient procedure to treat uterine factor infertility.
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