Uterus Transplantation Procedure From a Live Donor

Exclusion Criteria

• •Medical or surgical pathology that contraindicates a complex pelvic surgical procedure.
• •Medical conditions that contraindicate, may aggravate or complicate the immunosuppressor treatment, such as neoplastic or preneoplasic diseases, chronic infectious diseases, autoimmune diseases, renal or liver failure.
• •Medical or surgical pathology that contraindicates pregnancy.
• •Anatomic alterations or vascular pathology that might difficult the vascular anastomosis: severe endometriosis, pelvic kidney, severe adherence syndrome or others.
• •Uncontrolled psychopathology.
• •Potential future pregnancy desire.
• •Surgery for the treatment of gender identity disorder.
• •Infections: HIV or risk group, HBV-DNA and / or HBsAg positive, positive HCV, active bacterial sepsis, infections with multi-resistant bacteria, active tuberculosis or incomplete treatment of the same, Chagas disease, untreated active viral infections.
• •Active malignant cancer of any location, except skin basal cell carcinoma. Treated cancer without current evidence of illness but with a follow-up of less than 5 years.
• •Benign pelvic pathology: uterine fibroids, uterine malformations, severe endometriosis, severe adherence syndrome.
• •Vascular pathology: malformations, atheromatosis, hypertensive or diabetic vasculopathy, connective tissue disease with vascular involvement.
• •Premalignant pelvic pathology: pre-invasive cervical and/or vaginal, endometrial hyperplasia.
• •BRCA mutation carriers or genes related to Lynch syndrome.
• •History of implantation failure or multiple abortions of unknown cause.
• •Contraindications for the surgical procedure of donation through laparoscopy: diabetes mellitus, liver disease, nephropathy, heart disease, pneumopathy, morbid obesity or high-risk cardiovascular factors.