Microsurgical technique for reconstruction of Hemi-uterus with non-communicating rudimentary uterine horns
Abstract
Case description:
Three patients diagnosed with Hemi-uterus with non-communicating functional rudimentary cavity are reported.
Clinical findings:
Adolescent patients with disabling pelvic pain during menstrual periods, depressive states, and functional disability secondary to pain.
Treatment and outcome:
Reconstruction of Hemi-uterus with non-communicating functional rudimentary cavity using a microsurgical technique, without the need for non-communicating horn resection. The patients were assessed at the 1st, third, and sixth months, showing a marked improvement in their dysmenorrhea. In addition, there was an improvement in the depressive state; there was no change in the volume of her menstrual bleeding, and one of these patients achieved pregnancy with normal prenatal control and cesarean delivery, obtaining a full-term newborn without complications.
Clinical Relevance:
Description of a novel microsurgical technique for the management of the hemi-uterus with a non-communicating functional rudimentary cavity, which could benefit not only the reduction of associated symptoms but could also become an alternative to improve fertility.
Authors
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Keywords
- Microsurgical
- Mullerian malformations
- Hemi-Uterus
- Fertility
Author Biographies
, Médico especialista en Endocrinología y Medicina Reproductiva. Universidad del Valle, Facultad de Medicina, Departamento de Ginecología y Obstetricia, Cali, Colombia.
https://orcid.org/0000-0003-1308-8083
, Universidad del Valle, Cali, Colombia. Hospital Universitario del Valle “Evaristo García”, Cali, Colombia
https://orcid.org/0000-0002-0171-2304
, Médico especialista en Ginecología y Obstetricia. Universidad del Valle, Cali, Colombia. Hospital Universitario del Valle “Evaristo García”, Cali, Colombia.
https://orcid.org/0000-0002-7287-9689
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