54 - Vessel Harvesting in Preparation for Uterine Transplant

Abstract

In preparation for Uterine Transplant Surgery for Absolute Uterine Factor Infertility, laparoscopic harvesting of the main iliac vessels has an excellent advantage over open surgery. Understanding the anatomical relations of Internal Iliac Artery and Vein with its branches and tributaries in the deep pelvis along with dissection of the full length of the iliac vessels has been neatly demonstrated in this video. Inaternal Iliac veins pose a challenge to harvest as compared to Internal Iliac Artery. Better understanding and representation of the principles of the surgical procedure has been thoroughly explained by dissection of the pararectal spaces. Bench Surgery is done to check for vascular leaks and repair contributing to the ischaemia time. Laparoscopic harvesting and retrieval of iliac vessels for Uterine Transplant will be groundbreaking as there is minimal handling of tissues and vessels aided by benefits of magnification of deep pelvic structures provided by laparoscopy.