open access
Robot-assisted donor hysterectomy in uterus transplantation — a modality to increase reproducibility
- Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic
- Faculty of Medicine in Plzeň, Charles University, Czech Republic
open access
Abstract
Uterus transplantation is a non-lifesaving vascularized composite allotransplantation procedure requiring immunosuppression until removal of the graft. The focus of uterus transplantation is changing regarding refining individual treatment procedures included in this complex treatment of absolute uterine factor infertility, such as robot-assisted donor hysterectomy. The inferior hypogastric nerve plexus should be preserved during robotic dissection of the ureter and uterine vessels to prevent postoperative complications such as urine and fecal evacuation disturbances and sexual disorders. As most uterus transplantations have been performed in living donor concepts, robot-assisted donor hysterectomy should contribute to increased availability of uterus transplantation, particularly because it uses the precise blood-less technique of surgical dissection in the deep pelvis and has cosmetic benefits among living donors.
Abstract
Uterus transplantation is a non-lifesaving vascularized composite allotransplantation procedure requiring immunosuppression until removal of the graft. The focus of uterus transplantation is changing regarding refining individual treatment procedures included in this complex treatment of absolute uterine factor infertility, such as robot-assisted donor hysterectomy. The inferior hypogastric nerve plexus should be preserved during robotic dissection of the ureter and uterine vessels to prevent postoperative complications such as urine and fecal evacuation disturbances and sexual disorders. As most uterus transplantations have been performed in living donor concepts, robot-assisted donor hysterectomy should contribute to increased availability of uterus transplantation, particularly because it uses the precise blood-less technique of surgical dissection in the deep pelvis and has cosmetic benefits among living donors.
Keywords
robot-assisted surgery; hysterectomy; uterus; transplantation; living donor
Title
Robot-assisted donor hysterectomy in uterus transplantation — a modality to increase reproducibility
Journal
Issue
Article type
Review paper
Pages
528-531
Published online
2021-05-26
Page views
876
Article views/downloads
657
DOI
Pubmed
Bibliographic record
Ginekol Pol 2021;92(7):528-531.
Keywords
robot-assisted surgery
hysterectomy
uterus
transplantation
living donor
Authors
Roman Chmel Jr.
Zlatko Pastor
Marta Novackova
Roman Chmel
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