Which are the ideal donor and recipient vessels for a whole ovarian transplantation?  

Oleh:

Ploteau, Stéphane ; Rogez, Jean-Michel ; Donnez, Jacques ; Lengelé, Benoît

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 02 (Feb. 2011), page 751-755.
Topik: REPRODUCTIVE SURGERY; Anatomy of the gonadic pedicle; anatomy of the deep circumflex iliac vessels; ovarian harvesting; transplantation; vascular anastomosis; fertility preservation

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.02 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To compare deep circumflex iliac (DCI) and deep inferior epigastric (DIE) pedicles as potential recipient vessels for a whole ovarian microvascular transplantation. Design Anatomical study. Setting Laboratory of anatomy, university center. Patient(s) Ten fresh human female cadavers. Intervention(s) Anatomical dissections, vascular injections, histologic analysis. Main Outcome Measure(s) Morphological analysis of the gonadic, DCI, and DIE pedicles; diameter of the vessels at regular intervals along their entire length. Comparisons of the caliber values between receiving (DCI and DIE) and gonadic pedicles aiming to determine the optimal size match. Result(s) We highlight a tortuous appearance of the gonadic artery. This morphology contrasted with the venous system that included two or three straight veins, one of them being wider than the others. The gonadic vessels converge into a wider artery and vein at 5 cm from the ovary. An optimal size match existed between gonadic and DCI arteries and veins sections, in 13 of 14 gonadic pedicles. Conclusion(s) A safe microsurgical whole ovarian transplantation is feasible if the gonadic pedicle is harvested with a minimal length of 5 cm from the ovary. The DCI pedicle seems to have the best size match with the ovarian vessels to perform a reliable end-to-end microvascular anastomosis.

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