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The Barcelona Hospital Clinic carried out the first uterine transplant in Spain on 5 October. The procedure is possible thanks to the in vivo donation of a woman’s uterus to another. The intervention was led by the head of the Department of Gynecology, Francisco Carmona, and the head of the Urology and Renal Transplant Service, Antonio Alcaraz.
This process is initiated about five years ago in the investigation project Life expectancy study of uterine transplantation by living donor with injection by robotic surgery with the aim of validating the viability of this surgery.
The main requirement to be a candidate for this type of intervention is tener Rokitansky syndrome, it is said, a female chestnut chest of drawers female reproducer affecting 1 in every 5,000 women in the world. Estas mujeres ya nacen sin útero y sin trompas de Falopio. In this case, the receptor was the only candidate compatible with the 30 that were presented.
A high complexity process
The uterine transplant is divided into two phases: the extraction of uterus performed by means of robotic surgery, to be less invasive possible, and its implantation which consisted of an aborted surgery. The approximate duration is one of 12 hours, depending on the extraction, and one quarter of the implantation.
A multidisciplinary team of more than 20 people watched the launch of the operation. Among them are professional professionals of different specialties: gynecologists, transplant nurses, gynecology and transplant nurses, anesthetists and auxiliary nurses.
A process of high complexity, above all, in which it refers to the first stage of extraction of the donor uterus. The doctor explains Alcaraz, “es an organ complex with poor vascularization of the arteries and a large entramado of veins of the hay that search the mayors to drain the blood that lies on the uterus “.
Is that what it is a long process in time it is his success, as commented by Dr. Carmona “as determined by the viability of the organ, that its function and that it can be embarrassed”.
A few months from the post office the evolution has been good and has demonstrated its functionality al haber tenido la receptor su primer cyclo menstruele. In one month, an embryo of 11 seconds will be implanted in vitro prematurely.
In the case of which embarrassment occurs, the receptor with immunosuppressants has a second embarrassment. A veya haya completeado su des desed de ser madre se le retirara el utero lap laparoscopia despu de delecond parto, siempre y cuando sea este su des gestation.
Hasta hoy ha habred alrededor de 70 transplants de utero en todo el mundo, de los cuales hay más van 20 recién nacidos vivos. The first transfer of a uterus to a donor will take place in 2014 in Sweden at the Sahlgrenska University Hospital of the University of Gothenburg, led by Mats Brännström.