{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T07:23:33Z","timestamp":1790666613744,"version":"4.1.0"},"reference-count":20,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2020,4,12]],"date-time":"2020-04-12T00:00:00Z","timestamp":1586649600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004063","name":"Knut och Alice Wallenbergs Stiftelse","doi-asserted-by":"publisher","award":["2017.0363"],"award-info":[{"award-number":["2017.0363"]}],"id":[{"id":"10.13039\/501100004063","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The proof\u2010of\u2010concept of uterus transplantation, as a treatment for absolute uterine factor infertility, came with the first live birth after uterus transplantation, which took place in Sweden in 2014. This was after a live donor procedure, with laparotomy in both donor and recipient. In our second, ongoing trial we introduced a robotic\u2010assisted laparoscopic surgery of the donor to develop minimal invasive surgery for this procedure. Here, we report the surgery and pregnancy behind the first live birth from that trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>In the present study, within a prospective observational study, a 62\u2010year\u2010old mother was the uterus donor and her 33\u2010year\u2010old daughter with uterine absence as part of the Mayer\u2010Rokitansky\u2010K\u00fcster\u2010Hauser syndrome, was the recipient. Donor surgery was mainly done by robotic\u2010assisted laparoscopy, involving dissections of the utero\u2010vaginal fossa, arteries and ureters. The last part of surgery was by laparotomy. Recipient laparotomy included vascular anastomoses to the external iliac vessels. Data relating to in vitro fertilization, surgery, follow up, obstetrics and postnatal growth are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three in vitro fertilization cycles prior to transplantation gave 12 cryopreserved embryos. The surgical time of the donor in the robot was 360\u00a0minutes, according to protocol. The durations for robotic surgery for dissections of the utero\u2010vaginal fossa, arteries and ureters were 30, 160 and 84\u00a0minutes, respectively. The remainder of donor surgery was by laparotomy. Recipient surgery included preparations of the vaginal vault, three end\u2010to\u2010side anastomoses (one arterial, two venous) on each side to the external iliacs and fixation of the uterus. Ten months after transplantation, one blastocyst was transferred and resulted in pregnancy, which proceeded uneventfully until elective cesarean section in week 36<jats:sup>+1<\/jats:sup>. A healthy boy (Apgar 9\u201010\u201010) was delivered. Follow up of child has been uneventful for 12\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first report of a live birth after use of robotic\u2010assisted laparoscopy in uterus transplantation and is thereby a proof\u2010of\u2010concept of use of minimal invasive surgery in this new type of transplantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13853","type":"journal-article","created":{"date-parts":[[2020,3,20]],"date-time":"2020-03-20T18:55:27Z","timestamp":1584730527000},"page":"1222-1229","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":62,"title":["Live birth after robotic\u2010assisted live donor uterus transplantation"],"prefix":"10.1111","volume":"99","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6081-9101","authenticated-orcid":false,"given":"Mats","family":"Br\u00e4nnstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"},{"name":"STOCKHOLM IVF\u2010EUGIN Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4678-1757","authenticated-orcid":false,"given":"Pernilla","family":"Dahm\u2010K\u00e4hler","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niclas","family":"Kvarnstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Transplantation Sahlgrenska Academy University of Gothenburg Gothenburg Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Randa","family":"Akouri","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sahlgrenska Academy University of Gothenburg Gothenburg 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