Transplante uterino como alternativa terapêutica para infertilidade de fator uterino: uma revisão sistemática

2020 
Objective: Describe through a systematic review regarding uterine transplantation (UT), as a therapeutic option for women with absolute uterine factor infertility (AUFI) who wish to get pregnant. Methods: The bibliographic search occurred in the PubMed, LILACS and CAPES databases using the descriptors "infertility", "transplant" and "uterus", combined with each other, as well as the corresponding words in Portuguese and Spanish. Five clinical trials were selected. Results: Surgery for UT is recent and studies on this topic address different criteria related to transplantation, such as the quality of donor blood vessels, uterine vascular pathologies and the differences between living and non-living donors. Donor selection criteria also vary according to each clinical trial, with age being considered an exclusion factor by the majority. The presence of viable uteri with menstruation and / or pregnancy with a live child were considered positive results. Final considerations: Uterine UT proved to be a therapeutic option for women with AUFI who wish to experience the stages of management, despite being an empirical practice, requiring further progress in this area, studies have shown good results transplants performed.
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