OBJECTIVE To demonstrate techniques for successful donor-to-recipient vaginal anastomosis in uterine transplantation including illustration of a tension-free technique. DESIGN This video uses live-action footage from surgery, detailed animations, and illustrations to review the step-by-step technique we use for vaginal anastomosis in uterine transplantation. Institutional Review Board approval was obtained for this experimental surgery. SETTING Academic medical center. PATIENT(S) Patients undergoing uterine transplantation. INTERVENTION(S) Preparation of recipient vagina with illustration of challenges and risk secondary to dense adhesions between bladder and neo-vagina. Use of surgical techniques. Key steps include appropriate preparation of both donor and recipient vaginal tissues and a tension-free closure with horizontal mattress stitches. MAIN OUTCOME MEASURE(S) Intraoperative techniques in the clinical research trial of uterine transplantation. RESULTS Successful vaginal anastomosis in the uterine transplantation patient. CONCLUSION(S) This video provides a step-by-step guide to vaginal anastomosis in uterine transplantation patients. Our team has applied techniques from vaginal reconstructive surgery in an attempt to reduce the occurrence of postoperative vaginal strictures, with attention to planned donor and recipient anastomosis site tissue preparation and closure of the anastomosis using a tension-free suturing technique.

中文翻译：

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子宫移植患者成功阴道吻合的技术

目的 展示在子宫移植中成功进行供者与受者阴道吻合术的技术，包括无张力技术的说明。设计 该视频使用手术中的实景镜头、详细的动画和插图来回顾我们在子宫移植中用于阴道吻合术的分步技术。这项实验性手术获得了机构审查委员会的批准。设置学术医疗中心。患者 接受子宫移植的患者。干预（S） 准备接受者阴道并说明继发于膀胱和新阴道之间的致密粘连的挑战和风险。手术技术的使用。关键步骤包括适当准备捐赠者和接受者的阴道组织，以及使用水平床垫缝合的无张力闭合。主要观察指标 子宫移植临床研究试验中的术中技术。结果 子宫移植患者成功进行阴道吻合。结论该视频提供了子宫移植患者阴道吻合术的分步指南。我们的团队应用了阴道重建手术的技术，试图减少术后阴道狭窄的发生，并注意计划中的供体和受体吻合部位组织准备和使用无张力缝合技术闭合吻合。结论该视频提供了子宫移植患者阴道吻合术的分步指南。我们的团队应用了阴道重建手术的技术，试图减少术后阴道狭窄的发生，并注意计划中的供体和受体吻合部位组织准备和使用无张力缝合技术闭合吻合。结论该视频提供了子宫移植患者阴道吻合术的分步指南。我们的团队应用了阴道重建手术的技术，试图减少术后阴道狭窄的发生，并注意计划中的供体和受体吻合部位组织准备和使用无张力缝合技术闭合吻合。