Abstract
Cervical atresia is a challenging anomaly with an invasive management. We describe a case of cervical atresia who had multiple surgeries before this case was treated by using a minimal invasive technique by inserting gastrostomy tube with guide wire through the vagina and inflate the gastrostomy balloon inside the uterus to create a patent cervical tunnel, under ultrasound guidance. The patient recovered and was observed for 10 months after the procedure and developed a regular cycle with no cyclical pain.
Similar content being viewed by others
References
Rock JA, Roberts CP, Jones HW Jr (2010) Congenital anomalies of the uterine cervix: lessons from 30 cases managed clinically by a common protocol. Fertil Steril 94:1858–1863
Mhaskar R (2005) Amniotic membrane for cervical reconstruction. Int J Gynaecol Obstet 90:123–127
Li MH, Zhang ZY (2013) Laparoscopically assisted biomaterial graft for reconstruction in congenital atresia of vagina and cervix. Fertil Steril 100:1784–1787
Creighton SM, Davies MC, Cutner A (2006) Laparoscopic management of cervical agenesis. Fertil Steril 85:1510.e13–1510.e15
Kriplani A, Kachhawa G, Awasthi D, Kulshrestha V (2012) Laparoscopic-assisted uterovaginal anastomosis in congenital atresia of the uterine cervix: follow-up study. J Minim Invasive Gynecol 19:477–484
Lee CL, Wang CJ, Liu YH, Yen CF, Lai YL, Soong YK (1999) Laparoscopically assisted full thickness skin graft for reconstruction in congenital agenesis of vagina. Hum Reprod 14:928–930
Zhou Q, Chen X, Luo X, Ding J, Zhang G, Ren Y et al (2013) Laparoscopic-assisted uterovaginal anastomosis for uterine cervix atresia with vaginal aplasia using a silicone stent lined with acellular porcine small intestinal submucosa graft inserted using a 16F Foley catheter. J Minim Invasive Gynecol 20:710–713
Selvaggi G, Monstrey S, Depypere H, Blondeel P, Van Landuyt K, Hamdi M et al (2003) Creation of a neovagina with the use of a pudendal thigh fasciocutaneous flap and restoration of uterovaginal continuity. Fertil Steril 80:607–611
El Saman AM (2010) Endoscopically monitored canalization for treatment of congenital cervical atresia: the least invasive approach. Fertil Steril 94:313–316
Authors’ contributions
A Alobaid: protocol management, data collection
G Althubaiti: protocol management, data collection and analysis
A Al-Lehibi: protocol management
L Aldakhil: review of the manuscript
R Ali: data collection, data analysis, writing the manuscript.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This study was not funded.
Conflict of interest
The authors declare that they have no conflict of interest.
Ethical approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. IRB approval was obtained under log# 16-038.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Alobaid, A., Ali, R., Al-Lehibi, A. et al. Minimally invasive technique for the reconstruction of the cervix in cervical atresia. Gynecol Surg 13, 473–478 (2016). https://doi.org/10.1007/s10397-016-0981-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10397-016-0981-1