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Re: GYN: Doctors Prepare First Uterine TransplantFrom: ainsron (ainsron@sbcglobal.net)Thu Nov 9 14:42:46 2006
Other than prolapse, what "standard care procedure" would be used for a healthy uterus that would be considered transplantable? And how does one know that a uterus being considered for transplantation into another patient is healthy vs. one that has been exposed to HPV, has adenomyosis, early fibroids, etc.? Sounds like it might be a good use for healthy Chinese uterus found in their prison population, much like their kidneys for sale. (TIC) Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dean Huffman . Sent: Thursday, November 09, 2006 1:26 PM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: Doctors Prepare First Uterine Transplant .. Mt Sinai J Med. 2003 May;70(3):154-62. Uterus transplantation. Altchek A. Department of Obstetrics, Gynecology and Reproductive Science, Mount Sinai school of Medicine, New York, NY, USA. Until recently, only life and death situations warranted organ transplantation. Nonvital transplantation, to further a patient s wishes and goals, was not considered justified. It can be argued, however, that this distinction is not morally significant. Patients with kidney failure, for example, can be kept alive by dialysis. But their quality of life would be greatly enhanced by kidney transplant, which is thus considered a justified procedure. So a spectrum of rationales may justify transplantation. Transplantation of the uterus would relieve the anguish of women who greatly desire to conceive a child. Some women do not have a uterus. In some cases this is due to a congenital absence (Rokitansky s syndrome). In other cases, surgical removal of the uterus was required to repair an obstetrical rupture. With a transplanted uterus, many of these women could have the opportunity to become pregnant as a result of nonvital organ transplant. While other organ transplant donations most often come from cadavers and less often from living donors (kidney or partial liver), the donor source for a uterus may be an otherwise healthy living patient who requires uterus removal as a standard care procedure. Furthermore, it should be possible to remove the transplanted uterus from the recipient after successful pregnancies, so the patient would not be subjected to lifelong antirejection medications. Since animal uterus transplantation has been done successfully, human uterus transplantation might be considered for select cases. One such case has been reported. PMID: 12764532 - - - - From: "art fougner, md" <evsono@pipeline.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: GYN: Doctors Prepare First Uterine Transplant Date: Nov 9, 2006 12:39 PM Doctors are hoping to carry out the world's first womb transplant and have begun interviewing prospective patients. An American team have been given approval for the groundbreaking operation following laboratory experiments on animals. http://www.dailymail.co.uk/pages/live/articles/news/news.html?in_article_id415307&in_page_id70
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