Authors
MengHui Li, M.D., Ph.D., ZhenYu Zhang, M.D., Ph.D.
Volume 100, Issue 6, Pages 1784-1787, December 2013
Abstract
Objective:
To report successful treatment by laparoscopically assisted biomaterial graft for reconstruction in patients with congenital atresia of the uterine cervix and vagina.
Design:
Technique and instrumentations.
Setting:
University-based tertiary care hospital.
Patient(s):
An 18-year-old woman with vaginal agenesis and cervical dysgenesis and a 13-year-old woman with vaginal agenesis and cervical agenesis, both patients with a functional uterus.
Intervention(s):
Creation of a neovagina by vaginal procedure and laparoscopically assisted biomaterial graft for uterovaginal anastomosis was performed in all patients.
Main Outcome Measure(s):
All surgical findings were carefully reviewed to determine the anatomic characteristics of the malformed cervix. Subsequent follow-up was done by referring physicians.
Result(s):
Uterovaginal continuity was established successfully in both patients, and all of the women were menstruating normally. Granulomatous polyps occurred in one patient, and this condition was successfully managed. At 6-month follow-up, mean vaginal length was 12 cm and ≥80% of neovaginal epithelium was iodine positive in both patients. Unimpeded menstrual flow continued after 4 years of follow-up in one patient and 5 years of follow-up in the other patient.
Conclusion(s):
A combined laparoscopic and vaginal procedure with biomaterial graft could be an effective alternative in selected women with atresia of cervix and vagina.
Read the full text at: http://www.fertstert.org/article/S0015-0282(13)03012-4/fulltext