Successful treatment of cervical aplasia using a peritoneal graft
To evaluate the efficacy of a peritoneal graft for the treatment of cervical aplasia. Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometria...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2005-03, Vol.88 (3), p.299-302 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Alborzi, S. Momtahan, M. Parsanezhad, M.E. Yazdani, M. |
| description | To evaluate the efficacy of a peritoneal graft for the treatment of cervical aplasia.
Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometrial cavity and the upper part of the vagina; then, a graft of peritoneum was applied over the stent. In the absence of a vagina, grafts of skin or amniotic membrane were also used. The plastic stent was removed after 1 month in 2 patients and after 1 week in the 2 other patients.
After more than 1 year of observation the 4 patients had regular menstrual cycles with normal menstruation. Sonographic examinations also showed empty uterine cavities.
Traditional gynecology textbooks recommend hysterectomy in cases of cervical aplasia. This report presents a new technique with 2 variations using a peritoneal graft. Although both variations were successful in the treatment of cervical aplasia in 4 women, more trials are needed to determine which one should be developed. |
| doi_str_mv | 10.1016/j.ijgo.2004.12.016 |
| format | Article |
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Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometrial cavity and the upper part of the vagina; then, a graft of peritoneum was applied over the stent. In the absence of a vagina, grafts of skin or amniotic membrane were also used. The plastic stent was removed after 1 month in 2 patients and after 1 week in the 2 other patients.
After more than 1 year of observation the 4 patients had regular menstrual cycles with normal menstruation. Sonographic examinations also showed empty uterine cavities.
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Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometrial cavity and the upper part of the vagina; then, a graft of peritoneum was applied over the stent. In the absence of a vagina, grafts of skin or amniotic membrane were also used. The plastic stent was removed after 1 month in 2 patients and after 1 week in the 2 other patients.
After more than 1 year of observation the 4 patients had regular menstrual cycles with normal menstruation. Sonographic examinations also showed empty uterine cavities.
Traditional gynecology textbooks recommend hysterectomy in cases of cervical aplasia. This report presents a new technique with 2 variations using a peritoneal graft. Although both variations were successful in the treatment of cervical aplasia in 4 women, more trials are needed to determine which one should be developed.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cervical aplasia</subject><subject>Cervix Uteri - abnormalities</subject><subject>Device Removal</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Neo-endocervical canal</subject><subject>Peritoneal graft</subject><subject>Peritoneum - transplantation</subject><subject>Reconstructive surgery</subject><subject>Stents</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1LxDAQhoMoun78AQ_Si95a89E2CXiRxU8W9qD3MJtOlizddk1axX9vll3wJkIgMHnemclDyCWjBaOsvl0VfrXsC05pWTBepNIBmTAldS5KqQ_JhFJOc8k1PyGnMa4opUwydkxOWCWFUKqakPu30VqM0Y1tNgSEYY3dkPUusxg-vYU2g00L0UM2Rt8tM8g2GPzQd5ielgHccE6OHLQRL_b3GXl_fHifPuez-dPL9H6W21JwnUtR1xwUdZpXCppKaZmW4KAXFjlbNJVAxZFJCY2UthaIClRV24VzrqYozsjNru0m9B8jxsGsfbTYttBhP0ZTyzIdLRLId6ANfYwBndkEv4bwbRg1W29mZbbezNabYdykUgpd7buPizU2v5G9qARc7wGIyYoL0Fkff7m60mVaPnFyx335Fr__Mdq8vD7NudYpebdLYpL46TGYaD12Fhsf0A6m6f1fP_gBkVqcww</recordid><startdate>200503</startdate><enddate>200503</enddate><creator>Alborzi, S.</creator><creator>Momtahan, M.</creator><creator>Parsanezhad, M.E.</creator><creator>Yazdani, M.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200503</creationdate><title>Successful treatment of cervical aplasia using a peritoneal graft</title><author>Alborzi, S. ; Momtahan, M. ; Parsanezhad, M.E. ; Yazdani, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4329-73662a80f9258ad58975732a9bce21bd53e82e177ad77c63ee8a856cbfff60e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cervical aplasia</topic><topic>Cervix Uteri - abnormalities</topic><topic>Device Removal</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Neo-endocervical canal</topic><topic>Peritoneal graft</topic><topic>Peritoneum - transplantation</topic><topic>Reconstructive surgery</topic><topic>Stents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alborzi, S.</creatorcontrib><creatorcontrib>Momtahan, M.</creatorcontrib><creatorcontrib>Parsanezhad, M.E.</creatorcontrib><creatorcontrib>Yazdani, M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alborzi, S.</au><au>Momtahan, M.</au><au>Parsanezhad, M.E.</au><au>Yazdani, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Successful treatment of cervical aplasia using a peritoneal graft</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2005-03</date><risdate>2005</risdate><volume>88</volume><issue>3</issue><spage>299</spage><epage>302</epage><pages>299-302</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>To evaluate the efficacy of a peritoneal graft for the treatment of cervical aplasia.
Four patients with cervical aplasia who had a functioning endometrium and hematometra were recruited for this clinical trial. Through an abdominoperineal approach a plastic stent was inserted between the endometrial cavity and the upper part of the vagina; then, a graft of peritoneum was applied over the stent. In the absence of a vagina, grafts of skin or amniotic membrane were also used. The plastic stent was removed after 1 month in 2 patients and after 1 week in the 2 other patients.
After more than 1 year of observation the 4 patients had regular menstrual cycles with normal menstruation. Sonographic examinations also showed empty uterine cavities.
Traditional gynecology textbooks recommend hysterectomy in cases of cervical aplasia. This report presents a new technique with 2 variations using a peritoneal graft. Although both variations were successful in the treatment of cervical aplasia in 4 women, more trials are needed to determine which one should be developed.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>15733885</pmid><doi>10.1016/j.ijgo.2004.12.016</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0020-7292 |
| ispartof | International journal of gynecology and obstetrics, 2005-03, Vol.88 (3), p.299-302 |
| issn | 0020-7292 1879-3479 |
| language | eng |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adolescent Adult Biological and medical sciences Cervical aplasia Cervix Uteri - abnormalities Device Removal Female Gynecologic Surgical Procedures Gynecology. Andrology. Obstetrics Humans Medical sciences Neo-endocervical canal Peritoneal graft Peritoneum - transplantation Reconstructive surgery Stents |
| title | Successful treatment of cervical aplasia using a peritoneal graft |
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