title: 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.
abstract: Herein is reported a novel technique for cervical reconstruction of congenital cervicovaginal atresia. The patient was a 16-year-old girl with congenital atresia of the cervix and vagina, didelphic uterus, and right hematosalpinx. At laparoscopic-assisted creation of a neocervix, a silicone stent was inserted using a 16F Foley catheter and lined with an acellular porcine small intestinal submucosa graft under ultrasound guidance. At 3-month clinical follow-up after placement of the stent, the patient had regular menstrual flow. The neocervix was completely mucosalized on the inner surface at 4 months after surgery. There were no complications related to the silicone stent or the cervical stent. Cervical reconstruction using a vaginal mucosa-lined silicone stent is accessible and effective, and provides an alternative option to preserve reproductive potential in patients with cervicovaginal atresia.
authors.affiliation: Obstetrics and Gynecology Hospital, Fudan University, Shanghai, China.
authors.forename: Qiongjie
authors.initials: Q
authors.lastname: Zhou
authors.forename: Xiaojun
authors.initials: X
authors.lastname: Chen
authors.forename: Xuezhen
authors.initials: X
authors.lastname: Luo
authors.forename: Jinxin
authors.initials: J
authors.lastname: Ding
authors.forename: Guofu
authors.initials: G
authors.lastname: Zhang
authors.forename: Yunyun
authors.initials: Y
authors.lastname: Ren
authors.forename: Zhi
authors.initials: Z
authors.lastname: Liu
authors.forename: Keqin
authors.initials: K
authors.lastname: Hua
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods*; D002584:Cervix Uteri / Q000002:abnormalities / Q000601:surgery*; D012734:Disorders of Sex Development / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*
keywords: Acellular porcine small intestinal submucosa graft; Cervical stent; Cervicovaginal atresia; Ultrasound guidance