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New Advances in Uterus and Ovarian Transplantation: 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: 20 November 2025 | Viewed by 444

Special Issue Editor


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Guest Editor
Obstetrics and Gynecology and Women’s Health Institute, Cleveland Clinic, Cleveland, OH 44195, USA
Interests: uterus transplantation; gynaecological surgery; endometriosis; IVF; fibroids; reproductive medicine; laparoscopic surgery; assisted reproductive technology; reproductive endocrinology
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Special Issue Information

Dear Colleagues,

I am pleased to invite you to contribute to the Special Issue "New Advances in Uterus and Ovarian Transplantation: 2nd Edition". This is a new edition; we published five papers in the first volume. For more details, please visit https://www.mdpi.com/journal/jcm/special_issues/F718X72935.

As the Guest Editor of this Special Issue, I invite you to submit your novel research and reviews pertaining to uterus and ovary transplantation. In this Special Issue, we will seek to explore the next questions in the field, including, but not limited to, the following: tissue bioengineering; challenging cases in reproductive transplants either due to oncologic technical; new techniques and surgical innovation; expanding access to reproductive transplants; and calls to action for research needed in these innovative fields. As a journal of general scientific interest not solely restricted to transplant surgery or reproductive medicine, this Special Issue in the Journal of Clinical Medicine will bring together a multidisciplinary group of authors to highlight what is next on the horizon. Your contributions are greatly needed.

Dr. Elliott G. Richards
Guest Editor

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Keywords

  • uterus transplantation
  • gynaecological surgery
  • endometriosis
  • IVF
  • fibroids
  • reproductive medicine
  • laparoscopic surgery
  • assisted reproductive technology
  • reproductive endocrinology

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Published Papers (1 paper)

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Research

11 pages, 1538 KiB  
Article
Feasibility of Near-Infrared Spectroscopy for Monitoring Tissue Oxygenation During Uterus Transplantation and Hysterectomy
by Jeremy Applebaum, Dan Zhao, Nawar Latif and Kathleen O’Neill
J. Clin. Med. 2025, 14(14), 4832; https://doi.org/10.3390/jcm14144832 - 8 Jul 2025
Viewed by 177
Abstract
Background/Objective: Thrombosis is the leading cause of graft failure and immediate hysterectomy following uterus transplantation (UTx). Currently, there is no standardized method for real-time assessment of UTx graft perfusion. This feasibility study aims to evaluate the utility of a near-infrared spectroscopy (NIRS) probe [...] Read more.
Background/Objective: Thrombosis is the leading cause of graft failure and immediate hysterectomy following uterus transplantation (UTx). Currently, there is no standardized method for real-time assessment of UTx graft perfusion. This feasibility study aims to evaluate the utility of a near-infrared spectroscopy (NIRS) probe for non-invasive monitoring of local cervical tissue oxygenation (StO2) during UTx. As proof-of-concept for the NIRS device, cervical StO2 was also measured during non-donor hysterectomy and bilateral salpingo-oophorectomy to establish its capacity to reflect perfusion changes corresponding to vascular ligation. Methods: The ViOptix T. Ox Tissue Oximeter NIRS probe was attached to four uterine cervices during hysterectomy procedures and three separate donor cervices during UTx. Real-time StO2 measurements were recorded at critical surgical steps: baseline, ovarian vessel ligation, contralateral ovarian vessel ligation, uterine vessel ligation, contralateral uterine vessel ligation, and colpotomy for hysterectomy; donor internal iliac vein anastomosis to recipient external iliac vein, donor internal iliac artery anastomosis to recipient external iliac artery, contralateral donor internal iliac vein anastomosis to recipient external iliac vein, contralateral donor internal iliac artery anastomosis to recipient external iliac artery, and donor and recipient vagina anastomosis for UTx. Results: During hysterectomy, average StO2 levels sequentially decreased: 70.2% (baseline), 56.7% (ovarian vessel ligation), 62.1% (contralateral ovarian vessel ligation), 50.5% (uterine vessel ligation), 35.8% (contralateral uterine vessel ligation), and 8.5% (colpotomy). Conversely, during UTx, StO2 progressive increased with each anastomosis: 8.9% (internal iliac vein- external iliac vein), 27.9% (internal iliac artery-external iliac artery), 56.9% (contralateral internal iliac vein-contralateral external iliac vein), 65.9% (contralateral internal iliac artery-contralateral external iliac artery), and 65.2% (vaginal anastomosis). Conclusions: The inverse correlation between StO2 and vascular ligation during hysterectomy and the progressive rise in StO2 during UTx suggests that cervical tissue oximetry may serve as a non-invasive modality for monitoring uterine graft perfusion. Further studies are warranted to determine whether these devices complement current assessments of uterine graft viability and salvage thrombosed grafts. Full article
(This article belongs to the Special Issue New Advances in Uterus and Ovarian Transplantation: 2nd Edition)
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