Bailez Maria Marcela
Division of Pediatric Surgery, J P Garrahan Children's Hospital, Buenos Aires, Argentina.
Semin Pediatr Surg. 2007 Nov;16(4):278-87. doi: 10.1053/j.sempedsurg.2007.06.011.
Providing its excellent visualization, access to pelvic structures, and less postoperative adhesion, laparoscopy has been an important tool for the treatment of uterovaginal anomalies. We have used it to define the anomaly, monitor endometriosis or a hysteroscopic procedure, replace an absent vagina, and resect abnormal Müllerian structures. This article details the technique and reports the results of the use of operative laparoscopy for the treatment of uterovaginal anomalies in children and adolescents. The author's experience demonstrates some"nonclassical" applications of endosurgery in the management of these anomalies in the pediatric age.
腹腔镜检查因其出色的可视化效果、对盆腔结构的可及性以及较少的术后粘连,已成为治疗子宫阴道畸形的重要工具。我们已用它来明确畸形情况、监测子宫内膜异位症或宫腔镜手术、替代缺失的阴道以及切除异常的苗勒管结构。本文详细介绍了该技术,并报告了使用手术腹腔镜治疗儿童和青少年子宫阴道畸形的结果。作者的经验展示了内镜手术在小儿年龄段这些畸形管理中的一些“非经典”应用。