Surgical technique of live donor in uterus transplantation

Abstract

One major part of surgery in uterus transplantation is surgery of the live donor. Early attempts have shown that this is the most challenging part of live donor uterus transplantation and the duration of donor surgery is around two times that of recipient surgery. Traditionally, live donor surgery was by laparotomy, but during the last few years minimal invasive surgery has gradually entered on the scene for donor surgery. Minimal invasive surgery has been both by traditional laparoscopy and by robotic-assisted laparoscopy. This chapter will review the technique of live donor surgery in uterus transplantation in detail. Complications that so far have been reported in donors will be discussed. There will be a continuous development in live donor surgery for uterus transplantation. These modifications will have positive impacts on surgical duration, tissue trauma, hospital stay, postoperative pain, time to return to common daily activities, and on rates of complications.