A new surgical technique of uterine auto-transplantation in cynomolgus monkey

Preliminary report about two cases

Iori Kisu, Makoto Mihara, Kouji Banno, Hisako Hara, Takumi Yamamoto, Jun Araki, Takuya Iida, Yohei Hayashi, Hisashi Moriguchi, Daisuke Aoki

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Objective Uterine transplantation experiments have been performed in various animal species for future clinical applications of uterine transplantation for permanent uterine factor infertility in humans. The aim of this study was to confirm the feasibility of uterine auto-transplantation in cynomolgus monkeys by developing new surgical techniques. Methods Two female cynomolgus monkeys underwent surgery under general anesthesia. The uterus with vascular grafts and the vaginal wall was removed, and back-table preparation was performed using heparinized saline. The uterus with vascular grafts and the vaginal wall was anastomosed with the vaginal stump and blood vessels in the pelvis, respectively. The auto-transplant uterine function was evaluated by confirming engraftment of the uterus by laparotomy, endometrial proliferation by transabdominal ultrasonography and periodical menstruation. Results The first animal died due to acute renal failure 2 days after the operation. Second-look laparotomy in the second animal at 40 days after the operation indicated there was no congestion in the uterus, and the uterus showed the typical red color of a normal uterus. Thereafter, endometrial proliferation was observed by transabdominal ultrasonography and periodical menstruation was confirmed, indicating re-established uterine function. Conclusion This is the preliminary report of uterine autotransplantation in cynomolgus monkeys. This study demonstrates the feasibility of uterine auto-transplantation by using new surgical technique in cynomolgus monkeys. Accumulation of basic experimental data in non-human primates is required prior to performing the procedure in humans.

Original languageEnglish
Pages (from-to)129-137
Number of pages9
JournalArchives of Gynecology and Obstetrics
Volume285
Issue number1
DOIs
Publication statusPublished - 2012 Jan

Fingerprint

Macaca fascicularis
Uterus
Transplantation
Blood Vessels
Menstruation
Transplants
Laparotomy
Ultrasonography
Autologous Transplantation
Feasibility Studies
Pelvis
Acute Kidney Injury
General Anesthesia
Infertility
Primates
Color

Keywords

  • Auto-transplantation
  • Cynomolgus monkey
  • MRKH syndrome
  • Supermicrosurgery
  • Uterine infertility
  • Uterine transplantation

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

A new surgical technique of uterine auto-transplantation in cynomolgus monkey : Preliminary report about two cases. / Kisu, Iori; Mihara, Makoto; Banno, Kouji; Hara, Hisako; Yamamoto, Takumi; Araki, Jun; Iida, Takuya; Hayashi, Yohei; Moriguchi, Hisashi; Aoki, Daisuke.

In: Archives of Gynecology and Obstetrics, Vol. 285, No. 1, 01.2012, p. 129-137.

Research output: Contribution to journalArticle

Kisu, Iori ; Mihara, Makoto ; Banno, Kouji ; Hara, Hisako ; Yamamoto, Takumi ; Araki, Jun ; Iida, Takuya ; Hayashi, Yohei ; Moriguchi, Hisashi ; Aoki, Daisuke. / A new surgical technique of uterine auto-transplantation in cynomolgus monkey : Preliminary report about two cases. In: Archives of Gynecology and Obstetrics. 2012 ; Vol. 285, No. 1. pp. 129-137.
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AB - Objective Uterine transplantation experiments have been performed in various animal species for future clinical applications of uterine transplantation for permanent uterine factor infertility in humans. The aim of this study was to confirm the feasibility of uterine auto-transplantation in cynomolgus monkeys by developing new surgical techniques. Methods Two female cynomolgus monkeys underwent surgery under general anesthesia. The uterus with vascular grafts and the vaginal wall was removed, and back-table preparation was performed using heparinized saline. The uterus with vascular grafts and the vaginal wall was anastomosed with the vaginal stump and blood vessels in the pelvis, respectively. The auto-transplant uterine function was evaluated by confirming engraftment of the uterus by laparotomy, endometrial proliferation by transabdominal ultrasonography and periodical menstruation. Results The first animal died due to acute renal failure 2 days after the operation. Second-look laparotomy in the second animal at 40 days after the operation indicated there was no congestion in the uterus, and the uterus showed the typical red color of a normal uterus. Thereafter, endometrial proliferation was observed by transabdominal ultrasonography and periodical menstruation was confirmed, indicating re-established uterine function. Conclusion This is the preliminary report of uterine autotransplantation in cynomolgus monkeys. This study demonstrates the feasibility of uterine auto-transplantation by using new surgical technique in cynomolgus monkeys. Accumulation of basic experimental data in non-human primates is required prior to performing the procedure in humans.

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