Procedures and technical considerations of robotic-assisted human uterus transplantation

Arch Gynecol Obstet. 2023 Feb;307(2):643-651. doi: 10.1007/s00404-022-06791-y. Epub 2022 Oct 11.

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.

Keywords: Infertility; Pregnancy; Robotic-assisted surgery; Uterus transplantation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Female
  • Humans
  • Robotic Surgical Procedures* / methods
  • Uterus / transplantation