Uterine transposition: technique and a case report

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Presentation transcript:

Uterine transposition: technique and a case report Reitan Ribeiro, M.D., Juliano Camargo Rebolho, M.D., Fernanda Keiko Tsumanuma, M.D., Giovana Gugelmin Brandalize, M.D., Carlos Henrique Trippia, M.D., Karam Abou Saab, M.D. Fertility and Sterility Volume 108, Issue 2, Pages 320-324.e1 (August 2017) DOI: 10.1016/j.fertnstert.2017.06.016 Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 1 The uterine vessels are ready to be coagulated with the use of bipolar energy. The vesicovaginal space is dissected and the broad ligaments opened. The left adnexa with its normal vascularization can be seen. The right ovaries are enlarged owing to the recent stimulation for oocyte harvest. Fertility and Sterility 2017 108, 320-324.e1DOI: (10.1016/j.fertnstert.2017.06.016) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 2 Transparietal sutures are in place and ready to be tightened. Before that, the pneumoperitoneum was deflated. Fertility and Sterility 2017 108, 320-324.e1DOI: (10.1016/j.fertnstert.2017.06.016) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 3 The cervix is attached to the abdominal fascia with the use of polypropylene 3-0 sutures at the end of the procedure. Fertility and Sterility 2017 108, 320-324.e1DOI: (10.1016/j.fertnstert.2017.06.016) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Figure 4 View of the uterus and adnexas from the suprapubic port before detaching it (9 weeks after the first surgery). Fertility and Sterility 2017 108, 320-324.e1DOI: (10.1016/j.fertnstert.2017.06.016) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Final appearance after reconstruction of the uterine ligaments and rectosigmoidectomy. The inset shows the cervix attachment to the vagina with the use of absorbable sutures. Fertility and Sterility 2017 108, 320-324.e1DOI: (10.1016/j.fertnstert.2017.06.016) Copyright © 2017 American Society for Reproductive Medicine Terms and Conditions