title: Surgical pearls: laparoscopic removal of uterine remnants in patients with Mayer-Rokitansky-Küster-Hauser syndrome.
abstract: BACKGROUND
  Females with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome may require surgical removal of uterine remnant(s) which can be accomplished with a laparoscopic approach, described in this case series.
  
  
  METHODS
  Nine females with MRKH and pelvic pain were treated with laparoscopic resection of uterine remnants without major complication. The following management recommendations are offered: (1) preoperative evaluation for urinary tract anomalies and postoperative cystoscopy; (2) medial traction of the remnant to allow adequate exposure of the pelvic sidewall; (3) awareness of possible anomalous vascular supply to uterine remnant; (4) individualized management of associated endometriosis; (5) careful use of surgical terminology, avoiding use of the word hysterectomy.
  
  
  CONCLUSIONS
  Laparoscopic removal of uterine remnant(s) is safe and effective.
authors.affiliation: Department of Obstetrics and Gynecology, School of Medicine, University of Michigan Health System, Ann Arbor, MI 48109, USA.
authors.forename: Matthew A
authors.initials: MA
authors.lastname: Will
authors.forename: Courtney A
authors.initials: CA
authors.lastname: Marsh
authors.forename: Noam
authors.initials: N
authors.lastname: Smorgick
authors.forename: Yolanda R
authors.initials: YR
authors.lastname: Smith
authors.forename: Elisabeth H
authors.initials: EH
authors.lastname: Quint
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000150:complications / Q000601:surgery*; D000015:Abnormalities, Multiple / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D002648:Child; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D017699:Pelvic Pain / Q000209:etiology; D014599:Uterus / Q000002:abnormalities* / Q000098:blood supply / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult
keywords: Laparoscopy; MRKH; Pelvic pain; Uterine remnant