Abdominal Gynecologic Procedures in Pancreas Transplant Recipients

Area of Science:

• Transplant Surgery
• Gynecologic Surgery
• Organ Transplantation

Background:

• Growing population of long-term pancreas transplant recipients require gynecologic interventions.
• Limited literature exists on managing gynecologic conditions in pancreas transplant patients.
• Safety of pelvic gynecologic procedures near pancreatic allografts is a concern.

Purpose of the Study:

• To evaluate the safety and outcomes of gynecologic procedures in pancreas transplant recipients.
• To identify best practices for managing gynecologic pathologies in this population.

Main Methods:

• Retrospective analysis of pancreas transplant recipients undergoing gynecologic procedures (January 2003 - December 2022).
• Review of demographics, GYN indications, procedures, operative details, complications, and readmissions.
• Inclusion of transplant surgeon involvement as a key variable.

Main Results:

• Seventeen patients underwent 19 gynecologic procedures, including hysterectomy, oophorectomy, and salpingectomy.
• Procedures were performed via laparotomy (4) and laparoscopy (15).
• Post-operative complications occurred in 8 patients, with 5 requiring readmission; transplant surgeon involvement was noted in 11 cases.

Conclusions:

• Gynecologic procedures are feasible and can be performed safely in pancreas transplant recipients.
• Meticulous pre-operative planning is essential.
• Close collaboration with the transplant surgery team is crucial for successful outcomes.