Yusuke Matoba1, Iori Kisu1, Kouji Banno1, Daisuke Aoki1. 1. Department of Obstetrics and Gynecology, Keio University School of Medicine 35 Shinanomachi, Shinjku-Ku, Tokyo 160-8582, Japan.
Abstract
BACKGROUND: The surgical approach and choice of drainage veins for uterus transplantation living-donor surgery have been investigated to reduce invasiveness. METHODS: A thorough search of the PubMed database was conducted. The search was not limited by language or date of publication. The data were collected on 13 October 2020. Two reviewers independently assessed each article and determined eligibility for inclusion in the review article. Inclusion criteria were English peer-reviewed articles reporting surgical information or postoperative course, articles regarding animal research on UTx, UTx on deceased donors, or not original articles. RESULTS: Of the 51 operations within 26 articles reviewed, the mean operative time was shortest in the laparoscopic approach, and longest in the robot-assisted approach. The mean blood loss was less in the laparoscopic and robot-assisted approaches than in the open approach. In cases where the uterine veins were not preserved, the mean operative time was shortened by each approach and the mean blood loss decreased with the laparoscopic and robot-assisted approaches. CONCLUSIONS: These procedures may contribute to less invasive living-donor surgery.
BACKGROUND: The surgical approach and choice of drainage veins for uterus transplantation living-donor surgery have been investigated to reduce invasiveness. METHODS: A thorough search of the PubMed database was conducted. The search was not limited by language or date of publication. The data were collected on 13 October 2020. Two reviewers independently assessed each article and determined eligibility for inclusion in the review article. Inclusion criteria were English peer-reviewed articles reporting surgical information or postoperative course, articles regarding animal research on UTx, UTx on deceased donors, or not original articles. RESULTS: Of the 51 operations within 26 articles reviewed, the mean operative time was shortest in the laparoscopic approach, and longest in the robot-assisted approach. The mean blood loss was less in the laparoscopic and robot-assisted approaches than in the open approach. In cases where the uterine veins were not preserved, the mean operative time was shortened by each approach and the mean blood loss decreased with the laparoscopic and robot-assisted approaches. CONCLUSIONS: These procedures may contribute to less invasive living-donor surgery.
Authors: Mats Brännström; Pernilla Dahm-Kähler; Niclas Kvarnström; Randa Akouri; Karin Rova; Michael Olausson; Klaus Groth; Jana Ekberg; Anders Enskog; Mona Sheikhi; Johan Mölne; Hans Bokström Journal: Acta Obstet Gynecol Scand Date: 2020-03-20 Impact factor: 3.636