Figure 1.

(A) Schematic graph illustrating surgical preparations in the recipient prior to the graft entering the pelvis. B = bladder, V = vaginal vault, R = rectum. (B) Principles for vascular anastomosis. The anterior portions of the internal iliac arteries are anastomosed end-to-side to the external iliac arteries. On the right side of the pelvis, a segment of the internal iliac vein, in continuation with the deep uterine vein, is anastomosed end-to-side to the external iliac vein. On the same side, the proximal part of the utero-ovarian vein is directly anastomosed end-to-side to the external iliac vein. On the left side of the pelvis, a segment of the internal iliac vein, in continuation with the deep uterine vein, is anastomosed end-to-side to the external iliac vein. On the same side, the proximal part of the utero-ovarian vein is anastomosed end-to-end to a branch of the donor internal iliac vein.