Surgical Pearls: Laparoscopic Removal of Uterine Remnants in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome

Will MA, Matthew A Will, M. Will, Courtney A Marsh, Courtney Marsh, Marsh CA, Noam Smorgick, Smith YR, Yolanda R. Smith, Quint EH, Elisabeth H. Quint
Journal of Pediatric and Adolescent Gynecology · 2013 · vol. 26(4) , pp. 224–227 · doi:10.1016/j.jpag.2013.03.004 · PMID:23889918 · W1971254520
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This paper describes the laparoscopic technique for surgically removing uterine remnants in patients diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome.

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Abstract

BackgroundFemales with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome may require surgical removal of uterine remnant(s) which can be accomplished with a laparoscopic approach, described in this case series.CasesNine females with MRKH and pelvic pain were treated with laparoscopic resection of uterine remnants without major complication. The following management recommendations are offered: (1) preoperative evaluation for urinary tract anomalies and postoperative cystoscopy; (2) medial traction of the remnant to allow adequate exposure of the pelvic sidewall; (3) awareness of possible anomalous vascular supply to uterine remnant; (4) individualized management of associated endometriosis; (5) careful use of surgical terminology, avoiding use of the word hysterectomy.Summary and conclusionLaparoscopic removal of uterine remnant(s) is safe and effective.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

46, XX Disorders of Sex Development Abnormalities, Multiple Congenital Abnormalities Mullerian Ducts Uterus Uterus Vagina 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development Abnormalities, Multiple Adolescent Adult Child Congenital Abnormalities Female Humans Hysterectomy Kidney Kidney Laparoscopy

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