India's first womb transplant to be carried out in Pune today


  • India's first womb transplant to be carried out in Pune today
    India's first womb transplant to be carried out in Pune today
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India’s first womb transplant will be performed today in Pune when doctors will transplant a mother’s uterus to her 21-year-old daughter who is unable to become pregnant. The Solapur resident does not have a uterus. A team of 12 doctors at the Pune’s Galaxy Care Laparoscopy Institute (GCLI) will perform the procedure on her.
“We will start to retrieve the uterus at around 9 am from the donor and transplant it in recipient,” Dr Shailesh Puntambekar, medical director, GCLI, told HT, adding further that the duration of the procedure would be eight hours.
The uterus that is to be transplanted would be retrieved using a laparoscopic technique, which is expected to make the procedure less longer.
The hospital will transplant another uterus on Friday on a 24-year-old woman who has Asherman’s syndrome who will also receive her mother’s womb. The presence of scar tissue on the uterus constitutes Asherman’s syndrome.
A third womb transplant will take place at the GLCI at a later stage on a woman who is suffering from cervical cancer.
Preparations at the hospital for womb transplant have been going in the hospital for the last few months. The recipients underwent ovulation stimulation procedure through IVF. Post transplantation, frozen embryos would be implanted in the womb to enable conception.
The first two uterus transplants will not be charged, although the cost of the transplant is about Rs 7 to 8 lakhs.
According to Dr Puntambekar, the transplantation is not known to harm the recipient or the baby despite the use of anti-rejection drugs (immuno-suppressants) and the multiple surgeries involved.
He cited data on kidney transplant patients successfully delivering babies despite being put on immuno-suppressants in support.
If the surgery is successful, both the recipients will be able to conceive using in-vitro fertilisation (IVF) and have children. Both donor and recipients undergo screening procedure post which the uterus is retrieved and transplanted in the recipient, who undergoes three surgeries.
If the recipient conceives, she will deliver the baby through Caesarean-section and has to take immno-suppressants for the rest of her life to prevent rejection of the donor uterus
“The success of the transplant can be assessed after a month when recipient will undergo sonography and other tests to ensure the fitted uterus is functioning properly or not,” said Dr Puntambekar.
The Maharashtra directorate of health services granted GCLI the license to carry out womb transplantation for five years after inspecting its facilities in April this year.
The hospital decided to go ahead for the procedure on Wednesday after they obtained final approval from district level committee at government run Sassoon hospital.
“We now have all the approvals in place,” Dr Puntambekar said.
Womb transplantation was first done in Sweden in 2012 and the first baby, born to the recipient in 2014, was delivered prematurely through Caesarean section, and was healthy, according to the British medical journal The Lancet.



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