Academic Journal
Laparoscopic colo-vaginoplasty for cervicovaginal atresia in an adolescent girl
| Title: | Laparoscopic colo-vaginoplasty for cervicovaginal atresia in an adolescent girl |
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| Authors: | Jayakumar Tk, Avinash Sukdev Jadhav, Shubhalaxmi Nayak, Manish Pathak, Arvind Sinha |
| Source: | Journal of Pediatric Surgery Case Reports, Vol 92, Iss , Pp 102605- (2023) |
| Publisher Information: | Elsevier, 2023. |
| Publication Year: | 2023 |
| Collection: | LCC:Pediatrics LCC:Surgery |
| Subject Terms: | Cervicovaginal atresia, Vaginal reconstruction, Laparoscopy, Pediatrics, RJ1-570, Surgery, RD1-811 |
| More Details: | Cervico-vaginal atresia is a rare anomaly. To accomplish bowel vaginoplasty entirely by laparoscopy is technically quite challenging. Our patient is a 14-year-old girl who presented with complaints of amenorrhea and a lump in the abdomen due to Cervico-vaginal atresia. An unsuccessful intervention to dilate the vagina was attempted in another hospital. An MRI scan showed hematometra & hydrosalpinx, Cervico-vaginal atresia, and a 2cm long distal vagina. After eight months, we performed total laparoscopic sigmoid colo-vaginoplasty, with colo-vaginal, utero-colic and colo-colic anastomoses. The patient was discharged after 5 days. Ten days later she presented with adhesive small bowel obstruction, which was managed laparoscopically. Follow-up endoscopy after one month revealed patent anastomoses. She has been asymptomatic for 8 months, with regular menstruation. Vaginal reconstruction using sigmoid colon is an effective option providing excellent anatomical and functional result. To accomplish the entire procedure laparoscopically is technically challenging but a feasible option one. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2213-5766 |
| Relation: | http://www.sciencedirect.com/science/article/pii/S2213576623000313; https://doaj.org/toc/2213-5766 |
| DOI: | 10.1016/j.epsc.2023.102605 |
| Access URL: | https://doaj.org/article/b0e2757c372e44478e04e5a1dff93140 |
| Accession Number: | edsdoj.b0e2757c372e44478e04e5a1dff93140 |
| Database: | Directory of Open Access Journals |
| ISSN: | 22135766 |
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| DOI: | 10.1016/j.epsc.2023.102605 |
| Published in: | Journal of Pediatric Surgery Case Reports |
| Language: | English |