Surgical Pearls: Laparoscopic Removal of Uterine Remnants in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome

Matthew A. Will, Courtney A. Marsh, Noam Smorgick, Yolanda R. Smith, Elisabeth H. Quint

Research output: Contribution to journalArticlepeer-review

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. Cases: 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. Summary and Conclusion: Laparoscopic removal of uterine remnant(s) is safe and effective.

Original languageEnglish
Pages (from-to)224-227
Number of pages4
JournalJournal of Pediatric and Adolescent Gynecology
Volume26
Issue number4
DOIs
StatePublished - Aug 2013
Externally publishedYes

Keywords

  • Laparoscopy
  • MRKH
  • Pelvic pain
  • Uterine remnant

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