[Surgical steps of organ retrieval from deceased donor for uterus transplantation]

Introduction: A new surgical treatment method for absolute uterine infertility is uterus transplantation. We performed cadaver surgeries in preparation for human deceased donor uterus transplantation. Objective: The objective of the surgeries was to identify anatomical structures, to demonstrate the steps of graft retrieval, and to practice the collaboration of the medical staff as a team. Method: With the approval of the ethical committee, respecting the mercy and personal rights of the deceased, we dissected the ureter from its entry into the minor pelvis, also dissected the parietal and visceral branches of the internal iliac artery and vein, then clamped and cut them, while keeping the vascular bundles of the parametrium intact. Finally, a hysterectomy was performed along with the long vaginal cuff. Results: The operation was successful in 3 out of 3 cases, as it was possible to remove the uterus with bilaterally intact parametrium and intact vasculature. Discussion: During uterus transplantation, the graft can originate from a living or deceased (brain-dead) donor. Both interventions have many advantages and disadvantages. Currently, it is a matter of scientific debate which is the preferred method of organ removal, but in any case, proper preparation and practice are essential. Conclusion: We consider and recommend cadaver surgeries as it is suitable for preparation for human brain-dead donor uterus transplantation. Orv Hetil. 2025; 166(10): 385–391.