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Human uterine transplantation: a review of outcomes from the first 45 cases
Author(s) -
Jones BP,
Saso S,
BracewellMilnes T,
Thum MY,
Nicopoullos J,
DiazGarcia C,
Friend P,
GhaemMaghami S,
Testa G,
Johannesson L,
Quiroga I,
Yazbek J,
Smith JR
Publication year - 2019
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/1471-0528.15863
Subject(s) - medicine , infertility , transplantation , complication , gynecology , female infertility , obstetrics , gestation , quarter (canadian coin) , risk factor , surgery , pregnancy , biology , genetics , history , archaeology
Uterine transplantation restores reproductive anatomy in women with absolute uterine factor infertility and allows the opportunity to conceive, experience gestation, and acquire motherhood. The number of cases being performed is increasing exponentially, with detailed outcomes from 45 cases, including nine live births, now available. In light of the data presented herein, including detailed surgical, immunosuppressive and obstetric outcomes, the feasibility of uterine transplantation is now difficult to refute. However, it is associated with significant risk with more than one‐quarter of grafts removed because of complications, and one in ten donors suffering complications requiring surgical repair. Tweetable abstract Uterine transplantation is feasible in women with uterine factor infertility, but is associated with significant risk of complication.