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KMID : 1216720100020020136
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Korean Journal of Gynecologic Endocrinology
2010 Volume.2 No. 2 p.136 ~ p.144
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A Case Report of a Novel Surgical Technique with Congenital Vaginal or Uterine Cervical Agenesis
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Park Sun-Kyung
Kang Hyuk-Jae
An Jun-Woo
Kim Sung-Hoon
Chae Hee-Dong
Kim Chung-Hoon
Kang Byung-Moon
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Abstract
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The Vaginal and cervical agenesis are rare Mullerian anomalies that typically recognized by primary amenorrhea and cyclic or chronic abdominopelvic pain. Historically, the preferred treatment of Mullerian agenesis was hysterectomy, given this condition was not considered compatible with future fertility. Various methods of surgical procedure have been introduced, but the ideal method is still not established. Transvaginal uterovaginal anastomosis (the novel surgical procedure) were performed for these two patients. After more than 7 months of observation the 2 patients had regular menstrual cycles with normal menstruation without any preoperative and postoperative complaints. It was detected that natural elongation of vaginal depth after operation remarkably in both patients. Recently we experienced two cases of novel surgical procedure without hysterectomy, so we presented them with brief review of literature.
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KEYWORD
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Cervical agenesis, Mullerian anomaly, Surgical technique, Vaginal agenesis
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