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Updated: Feb 16, 2026

Surgical Approach, Challenges, and Resolutions for Uterus Transplantation in Rats

Surgical Approach, Challenges, and Resolutions for Uterus Transplantation in Rats

Published on: April 14, 2023

Uterus transplantation:robotic surgeon perspective.

Hubert Fornalik¹, Nicole Fornalik¹

¹Goshen Center for Cancer Care, Goshen, Indiana.

Fertility and Sterility

|December 17, 2017

Summary

Robotic dissection of deep pelvic vessels offers a safer and more effective method for uterine transplantation. This advanced technique improves transplant outcomes and donor results compared to traditional open surgery.

Keywords:

Internal iliac patch nerve sparing radical hysterectomy robotic deep pelvic dissection robotic uterus harvesting uterus transplantation

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Area of Science:

Minimally Invasive Surgery
Gynecologic Oncology
Transplant Surgery

Background:

Traditional uterine harvesting via laparotomy is associated with significant donor morbidity and lengthy procedures.
Nerve-sparing radical hysterectomy is technically challenging, often not performed via laparotomy in the US.

Purpose of the Study:

To evaluate the safety and feasibility of robotic dissection of deep pelvic vessels for uterine transplantation.
To assess the robotic technique's application in live donor uterine harvesting.
To demonstrate modifications improving transplant blood supply and outflow.

Main Methods:

Application of a robotic platform for precise dissection of internal iliac artery and vein branches, including uterine vessels.
Surgical video documentation of the procedure in two patients undergoing robotic nerve-sparing radical hysterectomy.
Focus on dissection of deep pelvic vessels crucial for uterine transplantation.

Main Results:

Robotic dissection achieved superior precision, hemostasis, and efficiency in managing pelvic vessels.
The technique allows for harvesting intact uterine vessels with internal iliac artery and vein patches.
Demonstrated potential for improved transplant blood supply and outflow.

Conclusions:

Robotic dissection of deep pelvic vessels is a safe and feasible approach for uterine harvesting.
The robotic technique offers advantages over laparotomy, potentially enhancing transplant survival and donor outcomes.
Requires experienced robotic surgical teams skilled in deep pelvic vessel anatomy and dissection.