Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
Fertil Steril. 2018 Jul 1;110(1):183. doi: 10.1016/j.fertnstert.2018.04.014.
To demonstrate our technique of uterine procurement from a deceased donor.
This video uses live action footage from surgery and detailed illustrations to review the steps and techniques involved in deceased donor procurement surgery.
Academic medical center.
PATIENT(S): A deceased multiorgan donor.
INTERVENTION(S): Trial organ procurement of a viable uterus from a deceased donor.
MAIN OUTCOME MEASURE(S): Procurement time and associated features of suitability of dissected specimen.
RESULT(S): This video article describes the advantages of a deceased donor model over a live donor model, including eliminating the risk of surgical complications to a living donor, avoidance of ethical issues inherent in live donation, easier access to generous vascular pedicles for anastomosis, and faster procurement time. This video also outlines the key steps to a successful uterine procurement using illustrations and live action footage from a trial organ procurement.
CONCLUSION(S): Uterine transplantation is an emerging surgical treatment for patients with absolute uterine factor infertility. Continued practice is essential in preparing for a deceased donor uterine procurement. The process continues to be refined and adapted as new information becomes available toward the goal of safe, efficient, ethical, and effective surgical treatment of absolute uterine factor infertility.
展示从已故供体获取子宫的技术。
本视频采用手术现场录像和详细插图，回顾了已故供体获取手术中涉及的步骤和技术。
学术医疗中心。
已故多器官供体。
从已故供体中尝试获取可行的子宫。
获取时间和解剖标本的适宜性相关特征。
本视频文章介绍了已故供体模型相对于活体供体模型的优势，包括消除活体供体手术并发症的风险、避免活体捐赠固有的伦理问题、更容易获得用于吻合的丰富血管蒂，以及更快的获取时间。本视频还通过来自一次尝试性器官获取的现场录像和插图，概述了成功获取子宫的关键步骤。
子宫移植是治疗绝对子宫因素不孕的新兴手术治疗方法。继续实践对于准备进行已故供体子宫获取至关重要。随着新信息的不断出现，该过程不断得到改进和调整，以实现安全、高效、符合伦理且有效的绝对子宫因素不孕的手术治疗。
