title: Outcomes in patients undergoing robotic reconstructive uterovaginal anastomosis of congenital cervical and vaginal atresia.
abstract: OBJECTIVE
  To introduce our experience of robotic surgery of reconstructive uterovaginal anastomosis and operative outcomes in congenital cervical and vaginal atresia patients.
  
  
  METHODS
  Clinical observation and follow-up of four patients with congenital cervical and vaginal atresia who underwent robotic reconstruction of cervix and vagina by SIS (small intestinal submucosa, SIS) graft.
  
  
  RESULTS
  Average patient age was 13.8 ± 2.2. Patients complained of severe periodic abdominal pain. Diagnosis was made according to clinical characteristics, physical examination, MRI and classified by ESHRE/ESGE system. All patients underwent reconstruction of cervix and vagina by uterovaginal anastomosis by SIS graft. Average operation time was 232.5 ± 89.2 min, average blood loss was 225.0 ± 95.7 mL. After surgery, all patients have regular menstruation without pain. Average follow up was 12 months, average vagina length was 8.9 ± 0.3 cm, average vagina width was 2.9 ± 0.1 cm.
  
  
  CONCLUSIONS
  Robotic assisted reconstruction of cervix and vagina is feasible from our experience, enlarged cases and additional studies are required.
authors.affiliation: Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
authors.forename: Ying
authors.identifier: http://orcid.org/0000-0003-3853-5070
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
authors.forename: Yisong
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Gynecology, The Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China.
authors.forename: Keqin
authors.initials: K
authors.lastname: Hua
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical / Q000379:methods*; D001672:Biocompatible Materials; D002584:Cervix Uteri / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation; D007421:Intestine, Small / Q000637:transplantation; D008279:Magnetic Resonance Imaging; D065287:Robotic Surgical Procedures / Q000379:methods*; D054457:Tissue Scaffolds; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D001672:Biocompatible Materials
keywords: cervical atresia; robotic surgery; small intestinal submucosa (SIS) graft; uterovaginal anastomosis