1. Analysis of Predictive Factors for Successful Vascular Anastomoses in a Sheep Uterine Transplantation Model
- Author
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Claire Le Gal, Marie Carbonnel, Vincent Balaya, Christophe Richard, Valerie Gelin, Laurent Galio, Olivier Sandra, Barbara Hersant, Romain Bosc, Johanna Charton, Pascale Chavatte-Palmer, François Vialard, Raphael Coscas, Jean-Marc Ayoubi, Chavatte-Palmer, Pascale, Biologie de la Reproduction, Environnement, Epigénétique & Développement (BREED), École nationale vétérinaire - Alfort (ENVA)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Saclay-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Service de Gynécologie-Obstétrique [AP-HP Hôpital Foch], Hôpital Foch [Suresnes], Department of Maxillofacial and Plastic & Reconstructive Surgery, Henri Mondor University Hospital, 94000 Creteil, France, Department of Vascular Surgery, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris-Saclay, and FRM
- Subjects
sheep ,uterus ,transplantation ,vascular ,anastomoses ,[SDV.MHEP.CHI] Life Sciences [q-bio]/Human health and pathology/Surgery ,General Medicine ,[SDV.MHEP.CHI]Life Sciences [q-bio]/Human health and pathology/Surgery - Abstract
International audience; Uterine transplantation is becoming an increasingly realistic therapeutic for uterine infertility. Surgical training on large animal models such as sheep is a prerequisite for establishing a program in humans. The objective of our study was to analyze the predictive factors for successful vascular anastomoses. We performed 40 autotransplants that involved end-to-side anastomoses from the uterine to the external iliac vessels. We analyzed vessel results in terms of success or failure; a total of 78.7% of arterial and 82.9% of venous anastomoses were successful in the immediate postoperative period. In multivariate analysis, independent factors associated with immediate successful vein anastomoses were as follows: a short warm ischemia time (
- Published
- 2022