Laparoscopic-robotic Hysterectomy for Uterine Transplantation in Live-donor Patient.

Feasibility Assessment of Assisted Laparoscopic-robotic Hysterectomy for Uterine Transplantation in Live-donor Patient. Description of the Donor and Recipient Surgical Technique.

Currently, there is no standard and indicated standard access route for uterine removal in the uterine transplant donor patient. The aim of the study is to show the feasibility of performing this procedure by replicating in our center the results found in other recent studies and to try to reduce the surgery time for both the donor and recipient patients.

Few cases have been performed worldwide by laparotomic and, more recently, laparoscopic and assisted robotic access pathways. This is a clinical trial with 6 participants (3 donors and 3 recipients) to investigate the feasibility of an assisted laparoscopic-robotic surgical access route for uterine removal in the donor patient in uterine transplants. In the receiving patient, conventional surgery (midline incision) will be performed for uterine transplantation and vascular anastomoses.

Inclusion Criteria:

• Desire for uterine transplantation as a donor of the uterus (with family relationship with the donor patient);
• At least one pregnancy before

Exclusion Criteria:

• comorbidities that contraindicate a surgical procedure
• Women who do not understand the study;
• Women subject to the regime that determines significant vulnerability to the participant (eg prisoners, indigenous, etc.)
• ABO blood test mismatch between donor and recipient patient.