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  1. Article: Laparoscopic Management of Congenital Cervico-Vaginal Agenesis.

    Jain, Nutan / Sircar, Reema

    Journal of gynecological endoscopy and surgery

    2014  Volume 2, Issue 2, Page(s) 94–96

    Abstract: ... left lower abdominal pain. She was diagnosed to have cervical agenesis associated with vaginal agenesis ... We report a case of cervical agenesis or lack of uterine cervix. It is a rare mullerian anomaly and ... and left endometriotic cyst. Neovagina was created laparoscopically. Utero-vaginal anastomosis was ...

    Abstract We report a case of cervical agenesis or lack of uterine cervix. It is a rare mullerian anomaly and occurs in 1 in 80,000-100,000 births. The patient presented to us with primary amenorrhea and cyclical left lower abdominal pain. She was diagnosed to have cervical agenesis associated with vaginal agenesis and left endometriotic cyst. Neovagina was created laparoscopically. Utero-vaginal anastomosis was tried but it was not technically feasible. Subsequently, laparoscopic hysterectomy was done due to recurrent endometriotic cyst formation.
    Language English
    Publishing date 2014-11-02
    Publishing country India
    Document type Case Reports
    ZDB-ID 2461113-X
    ISSN 0974-7818 ; 0974-1216
    ISSN (online) 0974-7818
    ISSN 0974-1216
    DOI 10.4103/0974-1216.114158
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Laparoscopic removal of bilateral uterine remnants for symptomatic unilateral leiomyomas in a patient with Müllerian agenesis.

    Parra, Carlos M / Shirazian, Taraneh

    Fertility and sterility

    2021  Volume 118, Issue 4, Page(s) 805–807

    Abstract: ... management. She provided written consent for video recording and publication of this surgical case ... the only definitive management option with laparoscopy as the standard of care when possible. Minor changes ... and upper vagina. Procedure was uncomplicated with an estimated blood loss of 25 mL. Patient was ...

    Abstract Objective: To our knowledge, we present the first video demonstration of the laparoscopic removal of bilateral uterine remnants for symptomatic unilateral leiomyomas in a patient with Müllerian agenesis.
    Design: A video case report.
    Setting: An academic medical center.
    Patient: A 44-year-old woman, gravida 0, with a history of Müllerian agenesis with presumed single uterine remnant who presented with worsening lower abdominal fullness and discomfort in the setting of known leiomyomas. Magnetic resonance imaging of the pelvis revealed a single rudimentary uterine remnant with 3 dominant leiomyomas, with the largest measuring 5.8 × 5.3 × 5.2 cm. After extensive counseling, she opted for definitive surgical management. She provided written consent for video recording and publication of this surgical case.
    Intervention(s): Laparoscopic removal of bilateral uterine remnants, bilateral salpingectomy, and cystoscopy.
    Main outcome measure(s): Laparoscopic removal of bilateral uterine remnants with multiple unilateral leiomyomas, leading to resolution of lower abdominal bulk symptoms.
    Result(s): Diagnostic laparoscopy revealed a right 12-cm pelvic mass consisting of a uterine remnant with 3 dominant leiomyomas, left 2-cm rudimentary uterine remnant, bilateral atrophic fallopian tubes, bilateral normal ovaries, and absent cervix and upper vagina. Procedure was uncomplicated with an estimated blood loss of 25 mL. Patient was discharged on the same day of surgery after meeting required milestones. Pathologic examination of the specimens was consistent with intraoperative findings.
    Conclusion(s): Müllerian agenesis is a rare congenital anomaly of the female reproductive tract in which uterine remnants may be found. Leiomyoma formation in uterine remnants is rare but possible. Magnetic resonance imaging is the most sensitive imaging modality for uterine remnants but not always accurate. When leiomyomas become symptomatic, surgery is the only definitive management option with laparoscopy as the standard of care when possible. Minor changes to the minimally invasive approach may be necessary to accommodate for anatomical differences.
    MeSH term(s) 46, XX Disorders of Sex Development/surgery ; Adult ; Congenital Abnormalities ; Female ; Humans ; Laparoscopy/methods ; Leiomyoma/complications ; Leiomyoma/diagnostic imaging ; Leiomyoma/surgery ; Mullerian Ducts/abnormalities ; Mullerian Ducts/diagnostic imaging ; Mullerian Ducts/surgery ; Urogenital Abnormalities ; Uterine Cervical Diseases/surgery ; Uterus/abnormalities ; Uterus/diagnostic imaging ; Uterus/surgery
    Language English
    Publishing date 2021-10-04
    Publishing country United States
    Document type Case Reports ; Journal Article ; Video-Audio Media
    ZDB-ID 80133-1
    ISSN 1556-5653 ; 0015-0282
    ISSN (online) 1556-5653
    ISSN 0015-0282
    DOI 10.1016/j.fertnstert.2022.07.010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 73: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  3. Article ; Online: Laparoscopic Uterovaginal Anastomosis for Cervical Agenesis: A Case Report.

    Padmawar, Ameya / Syed, Rizwana / Naval, Suyash

    Journal of minimally invasive gynecology

    2017  Volume 25, Issue 2, Page(s) 334–335

    Abstract: ... the possibility of an innovative surgery for the management of cervical agenesis.: Design: Stepwise description ... management for such cases over hysterectomy and cervical canalization, which have high complication rates ... the management of a case of a 13-year-old girl with primary amenorrhea and cyclical lower abdominal pain for 5 ...

    Abstract Study objective: Isolated cervical agenesis occurs in 1 in 80 000 to 100 000 births. According to the American Fertility Society, cervical agenesis should be classified as a type Ib müllerian anomaly. According to ESHRE/ESGE classification, it is classified in class C4 category. Here we demonstrate the possibility of an innovative surgery for the management of cervical agenesis.
    Design: Stepwise description of laparoscopic uterovaginal anastomosis (Canadian Task Force classification II-3).
    Setting: Video.
    Patient: A 13-year-old girl.
    Intervention: Laparoscopic uterovaginal anastomosis was performed. Informed consent was taken from the patient for use of video and images. Institutional review board has ruled that approval was not required for this study.
    Measurements and main results: This video demonstrates the management of a case of a 13-year-old girl with primary amenorrhea and cyclical lower abdominal pain for 5 months. After complete examination and investigation, a diagnosis of isolated cervical agenesis with hematomata and blind-ending vagina was made. An innovative technique was used to perform laparoscopic uterovaginal anastomosis. Later, a hysteroscopy was done that revealed patency of anastomoses. As a result, the patient is experiencing spontaneous regular menstruation for 48 months. The main steps of the procedure were as follows: A follow-up hysteroscopy was performed at 9 weeks after surgery. It showed patent anastomosis and normal uterine cavity. After 48 months, a repeat hysteroscopy was done and a partial fibrotic septum noted. It was resected using electric energy.
    Conclusion: Uterovaginal anastomosis for isolated cervical agenesis is possible by a minimally invasive approach. It can be offered as a first-line management for such cases over hysterectomy and cervical canalization, which have high complication rates. The surgery should only be performed by a specialized team with required expertise in minimally invasive surgery.
    MeSH term(s) Abdominal Pain/etiology ; Abdominal Pain/surgery ; Adolescent ; Amenorrhea/etiology ; Amenorrhea/surgery ; Anastomosis, Surgical/methods ; Cervix Uteri/abnormalities ; Cervix Uteri/surgery ; Female ; Humans ; Laparoscopy/methods ; Treatment Outcome ; Uterine Cervical Diseases/congenital ; Uterine Cervical Diseases/surgery
    Language English
    Publishing date 2017-07-24
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2186934-0
    ISSN 1553-4669 ; 1553-4650
    ISSN (online) 1553-4669
    ISSN 1553-4650
    DOI 10.1016/j.jmig.2017.07.016
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4205: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Case Report: Laparoscopic Uterovaginal Anastomosis for Congenital Isolated Cervical Agenesis.

    Scibilia, Giuseppe / Pecorino, Basilio / Pagano, Isabella / Scollo, Paolo

    Journal of minimally invasive gynecology

    2017  Volume 24, Issue 4, Page(s) 677–682

    Abstract: Management of cervical agenesis is a challenge owing to the complexity of the malformation and ... normal menstruation, and the uterovaginal connection had not stenosed. Management of congenital cervical ... for a 17-year-old woman with congenital cervical agenesis and a normal vagina and uterus confirmed ...

    Abstract Management of cervical agenesis is a challenge owing to the complexity of the malformation and the difficulty in restoring and preserving fertility. We propose a minimally invasive fertility-sparing surgery for a 17-year-old woman with congenital cervical agenesis and a normal vagina and uterus confirmed by vaginoscopy. The patient was admitted for primary amenorrhea, hematometra, and cyclic pelvic pain. She had undergone previous laparoscopies for ovarian endometriosis. Our surgical approach involved the creation of an isthmus-vaginal anastomosis with a uterovaginal reconnection. After surgery, the patient experienced regular menstrual cycles without dysmenorrhea. At 12 months postsurgery, she continued to experience normal menstruation, and the uterovaginal connection had not stenosed. Management of congenital cervical agenesis requires accurate diagnosis that includes appropriate classification of the malformation (European Society of Human Reproduction and Embryology/European Society for Gynaecological Endoscopy classification). Surgical treatment is controversial and depends on the patient's age and desire for resolution.
    MeSH term(s) Adolescent ; Amenorrhea/etiology ; Amenorrhea/surgery ; Anastomosis, Surgical/methods ; Cervix Uteri/abnormalities ; Female ; Gynecologic Surgical Procedures ; Hematometra/surgery ; Humans ; Laparoscopy ; Urogenital Abnormalities/diagnostic imaging ; Urogenital Abnormalities/surgery ; Uterus/diagnostic imaging ; Uterus/surgery ; Vagina/surgery
    Language English
    Publishing date 2017-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2186934-0
    ISSN 1553-4669 ; 1553-4650
    ISSN (online) 1553-4669
    ISSN 1553-4650
    DOI 10.1016/j.jmig.2016.12.031
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4205: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article: Laparoscopic reconstructive management of cervical agenesis.

    Bielik, T / Baláž, V / Rosova, L

    Ceska gynekologie

    2012  Volume 77, Issue 3, Page(s) 189–194

    Abstract: Objective: To asses the viability of laparoscopic management of cervical agenesis.: Design ... Congenital agenesis of the cervix is a rare anomaly of the inner genital. It may be associated with vaginal ... Banská Bystrica, Slovakia.: Methodology: Diagnostic management and laparoscopic technique.: Results ...

    Abstract Objective: To asses the viability of laparoscopic management of cervical agenesis.
    Design: Case report.
    Setting: II. Gynaecology and Obstetrics Dpt. at the University Hospital of F.D. Roosevelt, Banská Bystrica, Slovakia.
    Methodology: Diagnostic management and laparoscopic technique.
    Results: Congenital agenesis of the cervix is a rare anomaly of the inner genital. It may be associated with vaginal aplasia and less frequently with other anomalies like an incomplete fusion of müllerian ducts. Hysterectomy was frequently used to resolve main symptoms with respect to frequent complications associated with reconstructive surgery. Recently we can see a comeback to reconstructive surgery as a result of new medical technologies (new antibiotics and antibacterial sutures). Laparoscopic surgery is considered to be the main approach. The treatment strategy is related to a detailed individual pre-surgery investigation. Success of the surgical treatment is measured by normal menstruation and restored fertility. In this article we report the laparoscopic approach in creating the uterovaginal anastomosis in 20-year old women with cervical agenesis and duplex uterine anomaly and review the treatment options.
    Conclusion: Laparoscopic treatment of cervical agenesis is eligible and might be considered as a first-line treatment option.
    MeSH term(s) Adult ; Cervix Uteri/abnormalities ; Cervix Uteri/surgery ; Endometriosis/complications ; Endometriosis/diagnosis ; Endometriosis/surgery ; Female ; Gynecologic Surgical Procedures/methods ; Humans ; Laparoscopy ; Ovarian Diseases/complications ; Ovarian Diseases/diagnosis ; Ovarian Diseases/surgery ; Reconstructive Surgical Procedures/methods ; Uterus/abnormalities ; Uterus/surgery ; Young Adult
    Language English
    Publishing date 2012-06
    Publishing country Czech Republic
    Document type Case Reports ; Journal Article
    ZDB-ID 1187094-1
    ISSN 1805-4455 ; 1210-7832 ; 0374-6852
    ISSN (online) 1805-4455
    ISSN 1210-7832 ; 0374-6852
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 80: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
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