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العنوان
Auto uterine transplantation: an experimental clinical trial in female dog model/
المؤلف
AboElkhier,Mohamed Abdelrahman Hassan
هيئة الاعداد
باحث / محمد عبد الرحمن حسن أبو الخير
مشرف / مجدى محمد محمود عبد الجواد
مشرف / ملامس محمود فيصل
مشرف / أحمد محمد عبد اللاه
عدد الصفحات
197.p:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض النساء والتوليد
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Obstetrics and Gynecology
الفهرس
Only 14 pages are availabe for public view

from 197

from 197

Abstract

Introduction: Most women with uterine factor infertility have today the possibility to become pregnant with the development of human uterus transplantation. Several trials had been conducted in sev¬eral animal spe¬cies before performing the procedure in humans.
Aim: The present study aimed to provide an experimental clinical trial of uterine autotransplantation in dog and assessment of the vascularity of transplanted uterus.
Methods: Ten female dogs underwent hysterectomy for uterine autotransplantation including the uterus with the connected blood vessel pedicles including uterine vessels and internal iliac vessels, cervix, upper part of vagina and the proximal portion of two uterine horns. Macrovascular reanastomosis was performed by end-to-end anastomosis of the internal iliac vessels. Four weeks later, the uterus was removed and examined for signs of necrosis and doing histopathological examination.
Results: The main outcome measures were: (i) Three animals were dead due to intraoperative and postoperative complications as hemorrhage and infection. (ii) Three dogs with failed transplantation showed signs of necrosis and abnormal histological examination. (iii) Four dogs showed successful transplantation.
Conclusion: This study demonstrated the feasibility of uterine autotransplantation using a macrovascular patch technique in dogs. Accumulation of basic experimental data in non-human primates is required prior to human trials.
Keywords: infertility, uterine factor infertility, auto uterine transplantation.