Can ovaries be transplanted?

Women's ovaries may develop many diseases. First, some women will experience premature ovarian failure. Second, women will develop ovarian tumors. In order to treat this tumor, the ovaries may need to be removed, but ovarian removal will cause women to suffer from serious endocrine disorders. At this time, if conditions permit, ovarian transplantation can be performed. In short, the ovaries can be transplanted, but you must pay attention to relevant matters before transplantation.

Can ovaries be transplanted?

Ovarian transplantation in humans also includes autologous transplantation and allogeneic transplantation. If one of the ovaries is underdeveloped, very small, has little secretory function, the uterus is underdeveloped, and menstruation is difficult. It's not advanced enough. There are reports of successful ovarian transplantation between siblings and autologous twins abroad, but there are no reports in China. In short, the success rate of ovarian transplantation is low and the cost is high.

Cervical cancer and uterine cancer are common malignant tumors of the female reproductive organs, with a lower incidence rate, ranking third. It is also called the "invisible bomb" of women's health. As people's living standards improve, more and more women are recruited. Since the ovaries are hidden in the pelvic cavity, even if the tumor grows, it is not easy to be found. If you have ovarian cancer, you can't transplant it.

Surgical procedures

General steps of the operation: The operation is performed in two steps. The steps of the laparotomy are carried out as usual to check whether the ovaries are normal. If necessary, wedge-shaped resection of part of the ovarian tissue can be performed for frozen sections. After there is no cancer metastasis, one or both ovaries are transplanted. The other step is ovarian transplantation, and the blood supply vessels selected are the lateral chest wall arteries and veins or the subscapular vessels.

Postoperative complications

1. Rejection reaction.

2. Adhesions around the transplanted ovary.

3. Anastomotic vascular embolism or ovarian cyst formation.

Postoperative Care

1. For patients whose ovaries are transplanted outside the breast, the upper limb on the same side should be abducted 60° after surgery to relieve pressure. Pay attention to whether there is coagulation and infection. Low-molecular-weight dextran can be given by intravenous drip. Change the wound dressing daily and observe for swelling and signs of infection. Use antibiotics.

2. Ovarian function should be monitored after surgery, and ovarian function should be checked once 1, 3, 6, 9, and 12 months after surgery.

Precautions

After anastomosis of the ovarian artery and vein during ovarian transplantation, release the hemostatic clamp and carefully observe the arterial pulsation, whether the veins are well filled, whether the ovaries are rosy, and whether there is any bleeding at the anastomosis before fixing the ovaries.