Laparoscopic-Assisted Uterus Retrieval From Live Organ Donors for Uterine Transplant: Our Experience of Two Patients

Human uterine transplantation: a review of outcomes from the first 45 cases

“…Four (8.9%) have been undertaken in women following previous hysterectomy because of cervical cancer ( n = 1), postpartum haemorrhage ( n = 1),, and following unsuccessful myomectomy ( n = 2). One UTx (2.2%) has been performed for severe Asherman's syndrome . The mean age of the recipients in the UTx procedures performed to date is 27.8 years ( n = 45; range 20–38; SD 4.5).…”

“…Of the UTx procedures reported so far, 80% ( n = 36) have been performed using living donors – in Saudi Arabia, Sweden, China, Czech Republic, the USA, Germany, and India . Other procedures have been performed in Serbia, Lebanon, and Belgium but remain unpublished.…”

“…The majority of donor surgeries performed so far have been through the laparotomy approach ( n = 39), but minimally invasive surgical techniques have been used in living donors (robotic, n = 2; laparoscopic, n = 4) . Table S1 (see Supplementary material) summarises the key surgical information from the procedures performed to date.…”

Clinical applications of uterus transplantation in China: Issues to take into consideration

“…However, surrogacy is legally prohibited in China as per the 'Administrative Measures for Assisted Human Reproductive Technology' (2001). Moreover, even in the countries where surrogacy is permitted, UTx trials are also underway and have achieved live birth already in these countries . What is more, as for the surrogacy, the following problems regarding medical, ethical, legal and financial issues exist: the risk of communicable diseases from the surrogate mother to the child; the lifestyle of the surrogate; the risk of undermining the value of women's reproductive autonomy; psychological and physical risks for the surrogate mother and the child, potential custody battles and dispute in financial compensation for the surrogate mother .…”

“…Moreover, even in the countries where surrogacy is permitted, UTx trials are also underway and have achieved live birth already in these countries. [11][12][13] What is more, as for the surrogacy, the following problems regarding medical, ethical, legal and financial issues exist: the risk of communicable diseases from the surrogate mother to the child; the lifestyle of the surrogate; the risk of undermining the value of women's reproductive autonomy; psychological and physical risks for the surrogate mother and the child, potential custody battles and dispute in financial compensation for the surrogate mother. 14 A comprehensive national regulatory framework is essential for it to be legal; however, China has not yet to establish the legalization of surrogacy.…”