Robot-assisted laparoscopic auto-graft of patchwork ovarian cortex in two steps.


Journal

Journal of gynecology obstetrics and human reproduction
ISSN: 2468-7847
Titre abrégé: J Gynecol Obstet Hum Reprod
Pays: France
ID NLM: 101701588

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 06 02 2020
revised: 17 03 2020
accepted: 20 03 2020
pubmed: 3 4 2020
medline: 29 6 2021
entrez: 3 4 2020
Statut: ppublish

Résumé

The main difficulty of ovarian tissue autograft (OTA) is to preserve as many follicles as possible because the ovarian tissue undergoes warm ischemia during grafting until revascularisation, resulting in significant follicular loss. We describe a two-stage grafting technique to stimulate new vascularisation in order to enhance the revascularization process to reduce the ischemic injuries. Furthermore we performed ovarian patchwork in the laboratory and then grafting with robotic laparoscopy to facilitate surgery and increase precision. This technique is used in the DATOR study with promising results, such as a 40% delivery rate.

Identifiants

pubmed: 32234354
pii: S2468-7847(20)30064-7
doi: 10.1016/j.jogoh.2020.101730
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

101730

Informations de copyright

Copyright © 2020 Elsevier Masson SAS. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest All the authors have no conflicts of interest to disclose.

Auteurs

P Piver (P)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France; UMR-1248, Faculté de Médecine, Limoges, France.

C Sallée (C)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France.

L M Durand (LM)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France.

Y Aubard (Y)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France; UMR-1248, Faculté de Médecine, Limoges, France.

A Tardieu (A)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France.

T Gauthier (T)

Universitary Hospital of Limoges, Department of Gynecology and Obstetrics, 87000 Limoges, France; UMR-1248, Faculté de Médecine, Limoges, France. Electronic address: tristan.gauthier@chu-limoges.fr.

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Classifications MeSH