Pune doctors perform second uterus transplant

Evrard Martin
Mai 20, 2017

A day after the country's first uterus transplant - when a mother underwent a hysterectomy to donate her womb to her daughter - doctors said the Solapur-based duo was in a stable condition.

If the recipient conceives, the baby must be delivered through caesarean section and the recipient will also have to take immune suppressants life- long to prevent her body from rejecting the donor uterus.

On Friday, May 19, the hospital will conduct another uterus transplant on a 24-year-old woman from Gujarat who suffers from Asherman's Syndrome (scar tissue in the uterus) and will also receive her mother's womb. Another candidate - a 26-year-old woman from Baroda - was ruled out because of fitness issues.

The donor's uterus was removed through laparoscopic surgery or keyhole surgery, while the transplant was performed as an open surgery, he added.

However, not everyone approves of the procedure. The first words of Dr Shailesh Puntambekar, head of surgery, were: "The surgery was successful and we are ecstatic".

The first such procedure was performed in Sweden in 2012 and the patient gave birth to the world's first baby from a transplanted uterus in 2014, and was conducted by Dr Mats Brännström, who had reportedly criticised the Indian procedure for its lack of proper preparation and for the risk that it would put both donor and receiver at. "Another 48 hours will be crucial in determining the outcome of the surgery".

Pune's Galaxy Care Laparoscopy Institute, where the surgery will be carried out, has been granted a license by the state's Directorate of Health Services to carry out the transplant. Eggs were harvested two months ago, and will be implanted in the uterus in a year. The procedure is still considered experimental by some, with only a handful of cases meeting with success, mostly in Sweden.

In an interview with CNN, Dr. Puntambekar said: "The procedure is hard because multiple large arteries are to be joined there, and veins that are small and short".

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