Anaesthetic considerations for fertility‐sparing surgery and uterine transplantation
- Resource Type
- Authors
- Benjamin P Jones; R. Keays; Lorraine Kasaven; Srdjan Saso
- Source
- Anaesthesia. 76:46-55
- Subject
- Infertility
medicine.medical_specialty
media_common.quotation_subject
Endometriosis
Uterine Cervical Neoplasms
Fertility
Reproductive technology
Subspecialty
Fertility sparing surgery
03 medical and health sciences
Uterine transplantation
0302 clinical medicine
030202 anesthesiology
Uterus transplantation
Humans
Medicine
030212 general & internal medicine
Fertility preservation
Intensive care medicine
Anesthetics
media_common
Ovarian Neoplasms
Leiomyoma
business.industry
Uterus
Fertility Preservation
medicine.disease
Anesthesiology and Pain Medicine
Female
business
- Language
- ISSN
- 1365-2044
0003-2409
A number of benign and malignant gynaecological conditions can cause infertility. Advancements in assisted reproductive technologies have facilitated the rapidly evolving subspecialty of fertility preservation. Regardless of clinical indication, women now have the reproductive autonomy to make fully informed decisions regarding their future fertility. In particular, there has been an increasing interest and demand among patients and healthcare professionals for fertility-sparing surgery. Gynaecologists find themselves continually adapting surgical techniques and introducing novel procedures to facilitate this rapidly emerging field and anaesthetists need to manage the consequent physiological demands intra-operatively. Not only is it important to understand the surgical procedures now undertaken, but also the intra-operative management in an ever evolving field. This article reviews the methods of fertility-sparing surgery and also describes important anaesthetic challenges including peri-operative care for women undergoing complex fertility-sparing surgeries such as uterus transplantation.