Document Detail

Endoscopically monitored canalization for treatment of congenital cervical atresia: the least invasive approach.
MedLine Citation:
PMID:  19463998     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To study feasibility, safety, and anatomic and functional outcomes of endoscopically monitored canalization for treatment of congenital cervical atresia. DESIGN: Case series with description of the technique. SETTING: Assiut University Women's Health Center. PATIENT(S): Five with congenital cervical atresia, two of them with associated vaginal aplasia. INTERVENTION(S): The three cases with isolated cervical atresia underwent laparoscopic canalization under vaginoscopic monitoring (LC-VM). The two cases with associated vaginal aplasia underwent laparoscopic canalization under tactile monitoring (LC-TM). Cystoscopy was done for all cases to ensure bladder and urethral integrity. MAIN OUTCOME MEASURE(S): Operative time, complication rate, menstrual pattern, and reintervention rate. RESULT(S): The LC-VM procedure was performed successfully in three cases within 20-25 minutes. The two cases with associated vaginal aplasia underwent LC-TM; one them was successful and the other was complicated with bladder puncture. Follow-up ranged from 3 to 36 months, and all had regular menstruation. CONCLUSION(S): Laparoscopic canalization under vaginoscopic monitoring is a simple, effective, and minimally invasive way of management of isolated cervical atresia. However it seems not to be the ideal technique and needs further refinements for treatment of cervical atresia associated with vaginal aplasia.
Ali M El Saman
Related Documents :
16647368 - Three-port laparoscopic cholecystectomy by harmonic dissection without cystic duct and ...
24830898 - Hypophosphataemia after major hepatectomy and the risk of post-operative hepatic insuff...
16724978 - Outcome of cirrhotic patients undergoing cholecystectomy: applying bayesian analysis in...
11355028 - A study of pain after laparoscopic gastric banding.
19375078 - The role of routine spinal imaging and immobilisation in asymptomatic patients after gu...
9800618 - Endovascular treatment of saccular intracranial aneurysm.
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-05-21
Journal Detail:
Title:  Fertility and sterility     Volume:  94     ISSN:  1556-5653     ISO Abbreviation:  Fertil. Steril.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-25     Completed Date:  2010-06-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372772     Medline TA:  Fertil Steril     Country:  United States    
Other Details:
Languages:  eng     Pagination:  313-6     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.
Department of Obstetrics and Gynecology, Faculty of Medicine, Women's Health University Center, Assiut University, Assiut, Egypt.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Catheterization / methods
Cervix Uteri / abnormalities*,  surgery*
Endoscopy / methods*
Follow-Up Studies
Monitoring, Intraoperative / methods*
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Complete androgen insensitivity syndrome is frequently due to premature stop codons in exon 1 of the...
Next Document:  Spontaneous rupture of subserous uterine veins during late pregnancy after in vitro fertilization.