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Colombia Médica

On-line version ISSN 1657-9534

Abstract

HERRERA CASTANEDA, Enrique; PINEROS CASTILLO, William Andrés  and  PAREDES SOTO, Marlly Paola. Microsurgical technique for reconstruction of Hemi-uterus with non-communicating rudimentary uterine horns. Colomb. Med. [online]. 2022, vol.53, n.2, e5004855.  Epub June 30, 2022. ISSN 1657-9534.  https://doi.org/10.25100/cm.v53i2.4855.

Case description:

Three cases of patients diagnosed with Hemi-uterus with non-communicating functional rudimentary cavity are reported.

Clinical findings:

Adolescent patients with the presence of disabling pelvic pain during menstrual periods, in addition to depressive states and functional disability secondary to pain.

Treatment and outcome:

Reconstruction of Hemi-uterus with non-communicating functional rudimentary cavity using a microsurgical technique, without the need for non-communicating horn resection. The patients were assessed at the 1st, third, and sixth months, showing a marked improvement in their dysmenorrhea. In addition, there was an improvement in the depressive state; there was no change in the volume of her menstrual bleeding, and one of these patients achieved pregnancy with normal prenatal control and cesarean delivery, obtaining a full-term newborn without complications.

Clinical Relevance:

Description of a novel microsurgical technique for the management of the hemi-uterus with a non-communicating functional rudimentary cavity, which could benefit not only the reduction of associated symptoms but could also become an alternative to improve fertility in these patients.

Keywords : Microsurgical; Mullerian malformations; Hemi-Uterus; Fertility.

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