Şahin Sadık, Selçuk Selçuk, Eroğlu Mustafa, Karateke Ateş
Zeynep Kamil Training and Research Hospital, Clinic of Gynecologic and Pediatric İstanbul, Turkey.
Turk J Obstet Gynecol. 2015 Mar;12(1):38-42. doi: 10.4274/tjod.66809. Epub 2015 Mar 15.
Uterus transplantation has been considered as an alternative management modality in the last few years for adoption or gestational surrogacy for women with absence of uterus due to congenital or acquired reasons. Surrogacy is legal in only a few countries because of ethical, social and legal issues. Up to date, a total of 11 uterus transplantation cases have been reported in which uteri were harvested from ten live donors and one donor with brain death. After unsuccessful attempt of first uterus transplantation, many studies have been conducted in animals and these experimental models enabled our knowledge to increase on this topic. First experimental studies were performed in rodents; later uterus transplantation was accomplished in sheep, pigs and rabbits. Recently, researches in non-human primates have led the experience regarding transplantation technique and success to improve. In this review, we reviewed the experimental animal researches in the area of uterus transplantation and recent experience in humans.
在过去几年里,子宫移植已被视为一种替代管理方式,用于因先天性或后天性原因而无子宫的女性进行领养或妊娠代孕。由于伦理、社会和法律问题,代孕仅在少数国家合法。截至目前,共报道了11例子宫移植病例,其中子宫取自10名活体供体和1名脑死亡供体。在首次子宫移植尝试失败后,已在动物身上进行了许多研究,这些实验模型使我们对该主题的认识有所增加。最初的实验研究在啮齿动物中进行;后来在绵羊、猪和兔子身上完成了子宫移植。最近,对非人类灵长类动物的研究使移植技术和成功率方面的经验得到了改进。在本综述中,我们回顾了子宫移植领域的实验动物研究以及人类的近期经验。