European journal of obstetrics, gynecology, and reproductive biology · 2012
Balloon cervicoplasty: a simplified technique for correction of isolated cervical atresia.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Darwish Atef Mohammad
Аннотация
OBJECTIVES: To test the efficacy, safety and tolerability of a simplified surgical alternative for the formation of a new cervix in patients with isolated cervical aplasia.
STUDY DESIGN: A case series of six patients with complete cervical atresia (four primary and two secondary) were included. A silicone Foley catheter sutured to the distal end of a sharp curved long inserter was inserted laparoscopically, and left in utero inflated and subject to downward traction for one menstrual cycle. Clinical and sonographic follow-up were done. The main outcome measures were operative time, complication rate, tolerability of traction, reintervention rate, width and length of the newly formed cervix and postoperative menstrual pattern.
RESULTS: The results were satisfactory (normal length and width of new cervix by high-resolution 2D ultrasonography), without complications, with acceptable tolerability and normal menstrual pattern.
CONCLUSIONS: Both clinical and sonographic follow-up confirmed that balloon cervicoplasty is a simple, fast, tolerable, safe and available laparoscopically guided procedure. It can be easily performed by any gynecologist with basic laparoscopic expertise.
STUDY DESIGN: A case series of six patients with complete cervical atresia (four primary and two secondary) were included. A silicone Foley catheter sutured to the distal end of a sharp curved long inserter was inserted laparoscopically, and left in utero inflated and subject to downward traction for one menstrual cycle. Clinical and sonographic follow-up were done. The main outcome measures were operative time, complication rate, tolerability of traction, reintervention rate, width and length of the newly formed cervix and postoperative menstrual pattern.
RESULTS: The results were satisfactory (normal length and width of new cervix by high-resolution 2D ultrasonography), without complications, with acceptable tolerability and normal menstrual pattern.
CONCLUSIONS: Both clinical and sonographic follow-up confirmed that balloon cervicoplasty is a simple, fast, tolerable, safe and available laparoscopically guided procedure. It can be easily performed by any gynecologist with basic laparoscopic expertise.