Treatment of cervical agenesis with minimally invasive therapy: Case report

Azinar, Azami Denas; Annas, Jimmy Yanuar; Primariawan, Relly Yanuari; Hardianto, Gatut

doi:10.1016/j.gmit.2017.06.002

Cited by 4 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[ 1 ] With the improvement in minimally invasive surgery, laparoscopy and hysterectomy have replaced the conventional surgical method. [ 2 3 4 6 ]…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional Laparoscopic Hemihysterectomy in a Case of Herlyn–Werner–Wunderlich Syndrome

Lay*,

Gonzalez,

Paredes

et al. 2023

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

“…[ 1 ] With the improvement in minimally invasive surgery, laparoscopy and hysterectomy have replaced the conventional surgical method. [ 2 3 4 6 ]…”

Section: Discussionmentioning

confidence: 99%

Three-dimensional Laparoscopic Hemihysterectomy in a Case of Herlyn–Werner–Wunderlich Syndrome

Lay*,

Gonzalez,

Paredes

et al. 2023

Gynecology and Minimally Invasive Therapy

View full text Add to dashboard Cite

“…[3][4][5] Later, a minimally invasive approach came to light with the advent of laparoscopy and surgical expertise. [6][7][8][9] The aim of conservative management (open/laparoscopic) is to preserve the uterus by creating a path from the endometrial cavity to the vagina for the…”

Section: Descriptionmentioning

confidence: 99%

Unique minimally invasive management of cervicovaginal agenesis

et al. 2021

View full text Add to dashboard Cite

Functional and Reproductive Outcomes Following Surgical Management of Congenital Anomalies of the Cervix: A Systematic Review

Mikos

Lantzanaki

Anthoulakis

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

The purpose of this systematic review was to evaluate surgical treatment for malformations of the cervix in terms of short-and long-term postoperative function and relevant reproductive outcomes. Data Sources: International Prospective Register of Systematic Reviews (ID No CRD42019128899). Electronic databases were searched for eligible studies up to October 2019 on Medline/PubMed (1966−2019), Scopus/Elsevier (1950−2019), and Google Scholar (up to 2019. Search terms included "congenital cervical malformations/anomalies," "uterocervical aplasia/dysgenesis/agenesis," "cervical aplasia/dysgenesis/ agenesis," "m€ ullerian anomalies/dysgenesis/agenesis," "uterovaginal anastomosis," "cervical reconstruction," "uterocervical reconstruction/canalization," "cervical canalization," "reproductive/pregnancy/functional outcome," "menstruation," "pregnancy," and "regular periods." Methods of Study Selection: Studies were chosen and included with clear description of preoperative diagnosis via sonography, magnetic resonance imaging, and surgical confirmation; assessment and clear description of gynecologic anatomy and any concomitant anomalies; meticulous description of the operative technique; follow-up of at least 6 weeks postoperatively; and postoperative end points including menstrual and reproductive outcomes. We included randomized controlled trials, case-control studies (both prospective and retrospective), and case reports. Data registries, studies without clearly described primary or secondary outcomes, and studies not in the English language were excluded from the analyses. Tabulation, Integration, and Results: The literature search returned 745 studies; 546 records were initially excluded (397 not related to the topic, 15 not related to humans, 134 non-English language); 111 full-text articles were further excluded (patients underwent hysterectomy or no surgery); 88 studies with a total of 249 patients were suitable for analysis. Almost all patients had preoperative amenorrhea (248/249, 99.6%). Postoperatively, of 249 patients, resolution of menstruation occurred in 228 patients (91.6%), and hysterectomy was performed in 22 patients (8.8%); overall, there were 30 (12.0%) conceptions that resulted in 27 (10.8%) viable and 24 (9.6%) term pregnancies. Indications for hysterectomy were stenosis of the genital tract and sepsis. Coexisting vaginal agenesis and use of full thickness skin graft for creation of neocervix was associated with negative surgical outcomes. Conclusion: This review suggests that conservative surgical approaches result in better clinical and reproductive outcomes than more aggressive reconstructive surgeries for patients with malformations of the cervix.

show abstract

Treatment of cervical agenesis with minimally invasive therapy: Case report

Cited by 4 publications

References 10 publications

Three-dimensional Laparoscopic Hemihysterectomy in a Case of Herlyn–Werner–Wunderlich Syndrome

Three-dimensional Laparoscopic Hemihysterectomy in a Case of Herlyn–Werner–Wunderlich Syndrome

Unique minimally invasive management of cervicovaginal agenesis

Functional and Reproductive Outcomes Following Surgical Management of Congenital Anomalies of the Cervix: A Systematic Review

Contact Info

Product

Resources

About