A novel approach to cervical reconstruction using vaginal mucosa-lined polytetrafluoroethylene graft in congenital agenesis of the cervix  

Oleh:

Nguyen, Dung H. ; Lee, Chyi-Long ; Wu, Kai-Yun ; Cheng, Ming-Huei

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 95 no. 07 (Jun. 2011), page 2433.e5-8.
Topik: Agenesis; cervix; mucosa; polytetrafluoroethylene; vagina

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2011.04 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

Objective To report a novel technique for cervical reconstruction in a patient with congenital agenesis of the cervix. Design Case report. Setting University-based tertiary care hospital. Patient(s) A woman with congenital absence of the cervix, functional vagina, and adenomyosis uteri. Intervention(s) Laparoscopic-assisted creation of an uterovaginal fistula followed by placement of a polytetrafluoroethylene graft lined with vaginal mucosa graft to create the neocervix. Main Outcome Measure(s) Follow-up examinations with the hysteroscope confirmed unobstructed menstrual outflow through the patent neocervix. Result(s) The neocervix was completely mucosalized on the inner surface by 12 days postoperatively. The patient had return of menstrual bleeding at 4 weeks postoperatively. She has resumed normal sexual activities and had maintained regular menstrual cycles at the 6-month clinical follow-up. There were no complications related to the graft. Conclusion(s) Prosthetic reconstruction of the cervix using vaginal mucosa-lined polytetrafluoroethylene is easy to perform and effective. It offers an alternative treatment option for patients with cervical agenesis to preserve their reproductive potential.

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