Cargando…
Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches
The objective of this case series was to describe different uterus-preserving surgical approaches and outcomes in patients with complex obstructive Müllerian duct malformation caused by cervical and/or vaginal anomalies. A retrospective analysis was performed including patients undergoing uterovagin...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457300/ https://www.ncbi.nlm.nih.gov/pubmed/36078957 http://dx.doi.org/10.3390/jcm11175026 |
_version_ | 1784786021341200384 |
---|---|
author | Hoeller, Alice Steinmacher, Sahra Schlammerl, Katharina Hoopmann, Markus Reisenauer, Christl Hattermann, Valerie Brucker, Sara Y. Rall, Katharina |
author_facet | Hoeller, Alice Steinmacher, Sahra Schlammerl, Katharina Hoopmann, Markus Reisenauer, Christl Hattermann, Valerie Brucker, Sara Y. Rall, Katharina |
author_sort | Hoeller, Alice |
collection | PubMed |
description | The objective of this case series was to describe different uterus-preserving surgical approaches and outcomes in patients with complex obstructive Müllerian duct malformation caused by cervical and/or vaginal anomalies. A retrospective analysis was performed including patients undergoing uterovaginal anastomosis (n = 6) or presenting for follow-up (n = 2) at the Department for Gynecology at the University of Tuebingen between 2017 and 2022. Uterovaginal anastomosis was performed with a one-step combined vaginal and laparoscopic approach (method A), a two-step/primary open abdominal approach with primary vaginal reconstruction followed by abdominal uterovaginal anastomosis after vaginal epithelization (method B) or an attempted one-step approach followed by secondary open abdominal uterovaginal anastomosis due to reobstruction (method A/B). Patients presented at a mean age of 15 years. Two patients were treated by method A, four by method B and two by method A/B. Functional anastomosis was established in seven of eight patients, with normal vaginal length in all patients. Concerning uterovaginal anastomosis, the primary open abdominal approach with or without previous vaginal reconstruction seems to have a higher success rate with fewer procedures and should be implemented as standard surgical therapy for complex obstructive genital malformations including the cervix. |
format | Online Article Text |
id | pubmed-9457300 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-94573002022-09-09 Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches Hoeller, Alice Steinmacher, Sahra Schlammerl, Katharina Hoopmann, Markus Reisenauer, Christl Hattermann, Valerie Brucker, Sara Y. Rall, Katharina J Clin Med Article The objective of this case series was to describe different uterus-preserving surgical approaches and outcomes in patients with complex obstructive Müllerian duct malformation caused by cervical and/or vaginal anomalies. A retrospective analysis was performed including patients undergoing uterovaginal anastomosis (n = 6) or presenting for follow-up (n = 2) at the Department for Gynecology at the University of Tuebingen between 2017 and 2022. Uterovaginal anastomosis was performed with a one-step combined vaginal and laparoscopic approach (method A), a two-step/primary open abdominal approach with primary vaginal reconstruction followed by abdominal uterovaginal anastomosis after vaginal epithelization (method B) or an attempted one-step approach followed by secondary open abdominal uterovaginal anastomosis due to reobstruction (method A/B). Patients presented at a mean age of 15 years. Two patients were treated by method A, four by method B and two by method A/B. Functional anastomosis was established in seven of eight patients, with normal vaginal length in all patients. Concerning uterovaginal anastomosis, the primary open abdominal approach with or without previous vaginal reconstruction seems to have a higher success rate with fewer procedures and should be implemented as standard surgical therapy for complex obstructive genital malformations including the cervix. MDPI 2022-08-26 /pmc/articles/PMC9457300/ /pubmed/36078957 http://dx.doi.org/10.3390/jcm11175026 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Hoeller, Alice Steinmacher, Sahra Schlammerl, Katharina Hoopmann, Markus Reisenauer, Christl Hattermann, Valerie Brucker, Sara Y. Rall, Katharina Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title | Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title_full | Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title_fullStr | Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title_full_unstemmed | Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title_short | Reassessment of Surgical Procedures for Complex Obstructive Genital Malformations: A Case Series on Different Surgical Approaches |
title_sort | reassessment of surgical procedures for complex obstructive genital malformations: a case series on different surgical approaches |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9457300/ https://www.ncbi.nlm.nih.gov/pubmed/36078957 http://dx.doi.org/10.3390/jcm11175026 |
work_keys_str_mv | AT hoelleralice reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT steinmachersahra reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT schlammerlkatharina reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT hoopmannmarkus reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT reisenauerchristl reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT hattermannvalerie reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT bruckersaray reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches AT rallkatharina reassessmentofsurgicalproceduresforcomplexobstructivegenitalmalformationsacaseseriesondifferentsurgicalapproaches |