Anatomic characteristics and novel transplantation model of the canine uterus

Background : In Vietnam, the rate of absolute uterine factor infertility is increasing, but no study has been published on uterine transplantation. The present study was designed to comprehensively observe the canine uterine anatomy and to examine the possibility of using a living canine donor for u...

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Main Authors: Xuan-Hai Do, Thanh-Hai Tong, Trung-Chuc Nguyen, Tuan-Anh Ngo, Minh-Trang Thi Tran
Format: Article
Language:English
Published: Korean Society for Transplantation 2023-06-01
Series:Korean Journal of Transplantation
Subjects:
Online Access:http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0019
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author Xuan-Hai Do
Thanh-Hai Tong
Trung-Chuc Nguyen
Tuan-Anh Ngo
Minh-Trang Thi Tran
author_facet Xuan-Hai Do
Thanh-Hai Tong
Trung-Chuc Nguyen
Tuan-Anh Ngo
Minh-Trang Thi Tran
author_sort Xuan-Hai Do
collection DOAJ
description Background : In Vietnam, the rate of absolute uterine factor infertility is increasing, but no study has been published on uterine transplantation. The present study was designed to comprehensively observe the canine uterine anatomy and to examine the possibility of using a living canine donor for uterine transplantation training and further research. Methods : Ten female Vietnamese mixed-breed dogs were sacrificed for anatomical research, and 15 additional pairs were used to evaluate the novel uterine transplant model. Results : The anatomic features of the canine uterus differed considerably from those of the human uterus, with the uterine vessels originating from branches of the pudendal vessels (also known as the vaginal vessels). The uterine vascular pedicle had a small diameter (1 to 1.5 mm for arteries and 1.2 to 2.0 mm for veins) and required manipulation under a microscope. To perform uterine transplantation, the donor specimen’s artery and vein lengths were successfully reconstructed by anastomosis between both sides of the vasculature using autologous Y-shaped subcutaneous veins. The living-donor uterine transplantation model constructed in this study was feasible, with the transplanted uterus surviving in 86.7% of cases (13/15). Conclusions: Uterine transplantation was successfully performed in a Vietnamese canine living donor model. This model could be helpful in uterine transplantation training and improve the transplantation success rate in humans.
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spelling doaj.art-d0bbf5fa7b224872a304d1f3855feeba2024-02-03T06:51:12ZengKorean Society for TransplantationKorean Journal of Transplantation2671-87902023-06-0137210911710.4285/kjt.23.0019kjt.23.0019Anatomic characteristics and novel transplantation model of the canine uterusXuan-Hai Do0Thanh-Hai Tong1Trung-Chuc Nguyen2Tuan-Anh Ngo3Minh-Trang Thi Tran4Department of Practical and Experimental Surgery, Vietnam Military Medical University, Hanoi, VietnamPlastic Surgery Center, National Burn Hospital, Vietnam Military Medical University, Hanoi, VietnamDepartment of Practical and Experimental Surgery, Vietnam Military Medical University, Hanoi, VietnamDepartment of Cardiovascular Surgery, 108 Military Central Hospital, Hanoi, VietnamDepartment of Obstetrics, 108 Military Central Hospital, Hanoi, VietnamBackground : In Vietnam, the rate of absolute uterine factor infertility is increasing, but no study has been published on uterine transplantation. The present study was designed to comprehensively observe the canine uterine anatomy and to examine the possibility of using a living canine donor for uterine transplantation training and further research. Methods : Ten female Vietnamese mixed-breed dogs were sacrificed for anatomical research, and 15 additional pairs were used to evaluate the novel uterine transplant model. Results : The anatomic features of the canine uterus differed considerably from those of the human uterus, with the uterine vessels originating from branches of the pudendal vessels (also known as the vaginal vessels). The uterine vascular pedicle had a small diameter (1 to 1.5 mm for arteries and 1.2 to 2.0 mm for veins) and required manipulation under a microscope. To perform uterine transplantation, the donor specimen’s artery and vein lengths were successfully reconstructed by anastomosis between both sides of the vasculature using autologous Y-shaped subcutaneous veins. The living-donor uterine transplantation model constructed in this study was feasible, with the transplanted uterus surviving in 86.7% of cases (13/15). Conclusions: Uterine transplantation was successfully performed in a Vietnamese canine living donor model. This model could be helpful in uterine transplantation training and improve the transplantation success rate in humans.http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0019infertility; uterus; transplantation; living donor; dogs
spellingShingle Xuan-Hai Do
Thanh-Hai Tong
Trung-Chuc Nguyen
Tuan-Anh Ngo
Minh-Trang Thi Tran
Anatomic characteristics and novel transplantation model of the canine uterus
Korean Journal of Transplantation
infertility; uterus; transplantation; living donor; dogs
title Anatomic characteristics and novel transplantation model of the canine uterus
title_full Anatomic characteristics and novel transplantation model of the canine uterus
title_fullStr Anatomic characteristics and novel transplantation model of the canine uterus
title_full_unstemmed Anatomic characteristics and novel transplantation model of the canine uterus
title_short Anatomic characteristics and novel transplantation model of the canine uterus
title_sort anatomic characteristics and novel transplantation model of the canine uterus
topic infertility; uterus; transplantation; living donor; dogs
url http://www.ekjt.org/journal/view.html?doi=10.4285/kjt.23.0019
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