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Haley's avatar

Judge me if you want, but when I heard about uterus harvesting I took myself off of the organ donor list. Horrifying.

The Ob/Gyn Power Project's avatar

Hey, there. I’ve been looking forward to this piece because the first successful uterus transplant was done in Sweden when I was in residency, so there was a lot of academic chatter about it then.

So, what people may not realize, is that a “simple” hysterectomy does not produce a specimen suitable for transplant. If you just do a regular degular hysterectomy, you don’t get all the blood vessels that will need to be grafted into the donor. To get a specimen for transplant, the surgery has to be similar to a “radical” hysterectomy, which has historically done in cases of cervical cancer to try to increase patients’ survival, as cervical cancer spreads outward from the cervix to the pelvic sidewall.

Radical hysterectomy is an entirely different procedure from a simple hysterectomy, much more morbid for the patient. It is not typically done laparoscopically. Damage to the surrounding pelvic tissues is common, but the benefit is extending the patient’s life and potentially curing a truly awful disease.

Patients recover pretty fast from simple hysterectomy these days, because they can be done so minimally invasively, but the kind of surgery that produces a transplant specimen is a whole different thing.

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