Abstract
Background
Uterus transplantation is the only treatment for absolute uterine factor infertility. Complex vascular anatomy, long operation time, and intraoperative injuries are the main factors that limit progress in uterus transplantation. Moreover, robot-assisted uterus transplantation is not popular at present due to technical difficulties, with only a few countries reporting success.
Methods
In this paper, we present the key technical points of robot-assisted uterine transplantation by analyzing and summarizing our surgical experience and other successful cases of robot-assisted uterine transplantation. This study provides an evidence-based reference for clinicians planning robot-assisted uterine transplantation procedures.
Conclusion
Minimally invasive technologies can shorten the operation time, reduce injuries, and contribute to analyzing the anatomy of complex blood vessels. Therefore, robot-assisted uterine transplantation is an important direction for the future of uterine transplantation, and the findings and procedures reported herein contribute to the standardization and promotion of robot-assisted uterine transplantation operations.
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Funding
This work was supported by General project of national Natural Science Foundation of China (Grant Numbers 81672583).
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LZ: Data Collection, Manuscript writing. JD: Data collection. LW: Data management, Manuscript writing. FZ: Manuscript writing. BC: Project development. All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by FZZ, JD and LW. The first draft of the manuscript was written by LZ and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.
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We declare that we have no financial and personal relationships with other people or organizations that can inappropriately influence our work, there is no professional or other personal interest of any nature or kind in any product, service and/or company that could be construed as influencing the position presented in, or the review of, the manuscript entitled “Procedures and technical considerations of robotic-assisted human uterus transplanta”. The authors have no relevant financial or non-financial interests to disclose.
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This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of ****g Hospital of Air Force Military Medical University (No:XJLL(2014)0055).
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The authors affirm that human research participants provided informed consent for publication of the images in Figs. 2 and 3.
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Zhai, L., Dong, J., Wei, L. et al. Procedures and technical considerations of robotic-assisted human uterus transplantation. Arch Gynecol Obstet 307, 643–651 (2023). https://doi.org/10.1007/s00404-022-06791-y
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DOI: https://doi.org/10.1007/s00404-022-06791-y