A 32-year-old woman has been diagnosed with a healthy baby after taking her uterus for the first time in the world. The recipient has ovaries and eggs, but one born in every 4,500 women born of a congenital malady.
For more than 10 hours, doctors transplanted a 45-year-old woman who died of a stroke. This procedure requires high doses of complicated surgery and immunosuppressive drugs to prevent abortions. Seven months after the treatment, the doctors imported one of the previously fertilized paprika. After she became pregnant, she became a healthy girl. After cesarea, doctors removed the transplanted uterus to prevent severe immunosuppressive medication. The details of the operation conducted in 2016 will be published today in the medical journal Lancet.
These transplants make technically complex, successful and ethical dilemmas. In total, 39 transplants were performed, of which 11 were healthy. In many cases donors are very limited in mothers, siblings, or close people, and the presence of organs in them.
The National Transplant Organization has advised to use this technique in Spain because it offers more risk than the benefits
However, successful transplantation with dead donors was successful. Clinicas de Sao Paulo Medical College, located in a hospital adjacent to the universities of this city, says that this achievement promotes "genuine adoption" of this type of transplant. Responsible people will be able to help not only women with congenital diseases, but also those who have been abused by infectious diseases or oncologic treatment. Until 2013, the gynecological group, Mats Brännström, announced the birth of the first child through live transplantation for the surrogate mothers. However, the use of cadastral members is "a method that is highly experienced and experienced in many countries".
"It's an ethically insurmountable technical achievement," explains Beatriz Dominguez-Gill, Director of the National Transplant Organization (ONT). In 2016, the Ethics Committee of this organization will analyze this type of procedures and release them because they provide more risks than maternal and embryo benefits, the OLD respondent explains. "The risks inherent in the mother and the impact on the fetus do not reach the ultimate goal of the baby's birth and there is a lifelong alternative to adoption," he explains. "In the event that women are born without a birth, this intervention gives preference to women's right to maternity, but in our opinion, respect for the principle of poor treatment [no hacer daño] as well as the adequate use of state resources, "he emphasized. Sweden's transplantation was estimated at approximately 65 thousand euros, but the cost of each intervention will vary considerably depending on the country in which they are implemented. In Spain, this type of operation requires the approval of the hospital, the Autonomous Society and the TEC.
This technique is probably expanding and may even be a daily "
"This method can be enlarged, and it can be even everyday," said Cesar Diaz, a gynecologist at the Valencian Infertility Institute. Diaz worked with the Swedish team, who received the first transplant. The doctor now works in London and says that during a test agreed with Oxford University, he has two transplants for donors and alive people. A woman who was forced to remove her uterus after the birth of one of the two recipients is an issue affecting about 100,000 mothers. Other complications are widespread. For example, one in 100 women suffers from the elimination of the uterus from the good tumor in the body.
Diaz treats these procedures in full compliance with the medical ethics and believes that "the number of patients receiving transplantation is incredible." "In all cases, it is important to take into account the risks and benefits, but the person exposed to the risk should be the person who has the greatest benefit of intervention. Infertility is one of the most difficult illnesses and therefore the principle of justice should be sought, and infertility refuses to pay taxes, and the refusal to transplant them is the patient's death without cancer and palliative care, "she thinks.
Brennstrom explained to ABC that in 2015, they were "asked for sex change and people wanting to be mothers". Experts believe that it technically creates complicated ethical dilemmas.
In 2013, the 61-year-old woman decided to implant one of the best friends of her 35-year-old Swedish wife, who was born without this anomaly, due to her birth defect. Although the donor reached the menopause seven years ago, his brother gave birth to the first child by this method. Since then, the Swedish transplant program has been applied to women who have lost their cancer after an oncological illness and have eight children. The possibility of using organs from such individuals increases the availability of organs in countries with national transplantation and prevents complications. suffer from live donors and condemn Brazilian doctors. This type of transplantation requires recipients to be in good and in good condition to resist possible complications such as normal bleeding and to maintain high doses of immune-prophylactic drugs.