Halder Ajay, Patel Shweta, Dubey Pankhuri
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh, India.
Surg J (N Y). 2022 Nov 6;8(4):e297-e301. doi: 10.1055/s-0042-1757555. eCollection 2022 Oct.
Genital outflow tract obstruction due to cervical agenesis is an uncommon Mullerian duct anomaly, increasingly being treated with conservative surgery by creation of an outflow tract by drilling or coring into the cervical remnant or by uterovaginal anastomosis. A 19-year-old woman with cervical dysgenesis in the present case underwent a successful uterovaginal anastomosis to relieve the obstructive menstrual symptoms and preserve the future reproductive function. The neouterovaginal canal was created over a mold of Foley's catheter by anastomosis anterior surface of the uterine corpus to the vaginal vault, bypassing the dysgenetic cervix and using the fibrous band of cervix as support. Normal cyclical menses were restored. Steps of the procedure are detailed in this case report.
由于宫颈发育不全导致的生殖道梗阻是一种罕见的苗勒管异常，越来越多地通过保守手术进行治疗，即通过在宫颈残端钻孔或取芯或通过子宫阴道吻合术来创建流出道。本病例中一名19岁宫颈发育异常的女性成功接受了子宫阴道吻合术，以缓解梗阻性月经症状并保留未来的生殖功能。通过将子宫体前表面与阴道穹窿吻合，绕过发育异常的宫颈并利用宫颈纤维带作为支撑，在Foley导管模具上创建了新的子宫阴道管。恢复了正常的周期性月经。本病例报告详细介绍了该手术步骤。
