Document Detail


Endoscopically monitored canalization for treatment of congenital cervical atresia: the least invasive approach.
MedLine Citation:
PMID:  19463998     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Ali M El Saman
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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.
Affiliation:
Department of Obstetrics and Gynecology, Faculty of Medicine, Women's Health University Center, Assiut University, Assiut, Egypt. ali_elsaman@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Catheterization / methods
Cervix Uteri / abnormalities*,  surgery*
Endoscopy / methods*
Female
Follow-Up Studies
Humans
Monitoring, Intraoperative / methods*
Surgical Procedures, Minimally Invasive / methods*
Treatment Outcome

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


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