Archival Issues
Volume 85, 2014
Volume 84, 2013
Volume 83, 2012
Volume 82, 2011
Volume 81, 2010
Volume 80, 2009
Volume 79, 2008
Volume 78, 2007
Volume 77, 2006
Volume 76, 2005
Journal Abstract
Uterine cervix agenesis - uterovaginal anastomosis
Grażyna Maciołek-Blewniewska 1, Andrzej Malinowski 1
1 - Klinika Ginekologii Operacyjnej i Endoksopowej ICZMP w Łodzi
Ginekol Pol 2010; 81(05):389-392
ICID: 911702
Article type: Case report
IC™ Value: 5.40
Abstract provided by Publisher
Purpose: Atresia of the uterine cerix is an uncommon Mullerian anomaly. Until ten years ago many authors recommended hysterectomy as the first line treatment in case of uterine cervix atresia. Recent advances in reproductive technology and laparoscopic surgical techniques mean that conservative surgery is a possibility and should be considered as the first line treatment option. Surgical treatment of uterine cervical atresia appears to be a good choice of treatment with good functional result.
Materials and methology: We report a case of a 19-year-old woman who was admitted to our Department with amenorrhea and pelvic pain. Examination found no communication between vagina and uterus. The patient under general anesthesia was placed in a lithotomy position, allowing both abdominal (laparoscopy) and vaginal approach. A large dissection between the bladder and the uterus and later between the rectum and the uterus was performed. An incision was made on the uterine fundus and a probe to identify the upper limit of artretic tissue of the cervix was inserted. The atretic tissue was resected as for the cervical conisation until the uterine cavity was reached. Then the uterus was sutured to the high vaginal mucosa with separate stitches. A Foley catheter was inserted in the uterine cavity for 21 days. During the entire post-operative treatment the patient received antibiotics, oral contraceptives and vaginal douche. Four months after the surgery a hysteroscopic evaluation revealed that the communication between the uterus and the vagina was healed. Conclusions: The result of our surgery confirms that uterine atresia may be successfully treated by utero-vaginal anastomosis.

ICID/b> 911702

Related articles
  • in IndexCopernicus™
         wrodzony brak szyjki [0 related records]
         wady macicy [0 related records]
         cervical agenesis [0 related records]
         uterine malformations [1 related records]


    Copyright © Ginekologia Polska  2014
    Page created by Index Copernicus Ltd. All Rights reserved.