Use of Laser Speckle Contrast Analysis during pelvic surgery in a uterine transplantation model

Author:

Saso Srdjan1,Tziraki Maria2,Clancy Neil T2,Song Lipei2,Bracewell-Milnes Timothy3,Jones Benjamin P1,Al-Memar Maya1,Yazbek Joseph4,Thum Meen-Yau5,Sayasneh Ahmad6,Bourne Tom1,Smith James Richard1,Elson Daniel S2,Ghaem-Maghami Sadaf1

Affiliation:

1. Division of Surgery & Cancer, Institute of Reproductive & Developmental Biology, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London, W12 0HS2 UK

2. Hamlyn Centre for Robotic Surgery, Institute of Global Health Innovation, Imperial College London, London, SW7 2AZ3 UK

3. Department of Obstetrics & Gynaecology, Chelsea & Westminster Hospital, Imperial College London, London, SW10 9NH4 UK

4. West London Gynaecological Cancer Centre, Queen Charlotte's Hospital, Hammersmith Hospital Campus, Imperial College London, Du Cane Road, London, W12 0NN6 UK

5. The Lister Hospital, Chelsea, London, SW1W 8RH7 UK

6. Guy's & Thomas’ Hospitals, London, SE1 7EH8 9 UK

Abstract

Aim: Uterine transplantation (UTx) is proposed for treatment of uterine factor infertility. Our aim was to assess whether Endoscopic Laser Speckle Contrast Analysis (eLASCA) could evaluate pelvic blood flow at anastomotic sites required for sheep and rabbit UTx. Results/methodology: eLASCA detected blood flow in rabbit UTx #7 and #9. In sheep UTx #2, #3 and #5, the results allowed us to conclude that blood flow was present in the uterine graft following transplantation; and post-UTx, the animal had heart and respiratory rates, and oxygen saturation compatible with a normal hemodynamic status. Conclusion: These preliminary results establish the potential of Laser Speckle Contrast Analysis as noncontact and real-time tool for observation of spatially-resolved blood flow from which other parameters can be derived.

Publisher

Future Science Ltd

Subject

Biotechnology

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