Techniques for successful vaginal anastomosis in the uterine transplant patient

Abstract

To demonstrate our techniques for successful vaginal anastomosis in the uterine transplant patient. We report the case of a recent uterine transplant from a decease multi-organ donor and highlight the vaginal anastomosis portion of this multi-step surgery. This video uses live action footage from surgery and detailed descriptions review our techniques for successful vaginal anastomosis in the uterine transplant patient. Following uterine transplantation, access to the donor allograft cervix is important for many reasons. Vaginal strictures pose a unique problem in this surgical population. We believe strictures result from difficult in approximating donor vaginal mucosa to recipient vaginal mucosa, and that this is paramount in reducing this untoward postop complication. Given the difficulty of surgery and tendency for the recipient vaginal mucosa to retract, our teams has employed techniques from vaginal reconstructive surgery to reduce the occurrence of postoperative vaginal strictures.