"Robotic Assisted Laparoscopic Hemi Hysterectomy After Inappropriate Ma" by Salem K. Joseph, Douglas E. Pugmire et al.
 

Robotic Assisted Laparoscopic Hemi Hysterectomy After Inappropriate Management of OHVIRA

Document Type

Conference Proceeding

Publication Date

11-14-2024

Publication Title

J Minim Invasive Gynecol

Abstract

Study Objective: The aim of this video presentation is to demonstrate a technique of robotic assisted laparoscopic hemi hysterectomy in a patient with OHVIRA after inappropriate management with incision of a high and thick vaginal septum and drainage of hematocolpos. Design: Video presentation. Setting: Fertility Center - Teaching Hospital. Patients or Participants: A 13-year-old patient with a diagnosis of OHVIRA with hematocolpos, hematometra and hematosalpnix was managed inappropriately with incision of a high and thick vaginal septum and drainage of hematocolpos at another institution. Interventions: Robotic assisted laparoscopic hemi hysterectomy. Measurements and Main Results: At age of 17 she presented with acute abdomen and fever; CT scan suggested pyosalpinx. EUA revealed the presence of a stenotic opening in a high and thick vaginal septum and the cervix of the left uterus was not visualized. Laparoscopy, lysis of adhesions and left salpingectomy were performed by her OB/GYN, pathology report confirmed acute salpingitis and tubal abscess. Severe chronic pelvic pain continued despite treatment with narcotics. After more than one year of suffering the patient underwent robotic assisted laparoscopic hemi hysterectomy. Post operative course was uneventful and all her symptoms subsided. Conclusion: Hemi hysterectomy should be performed in patients with OHVIRA and a high and thick vaginal septum.Robotic assisted laparoscopic hemi hysterectomy is the surgery of choice in such patients.

Volume

31

Issue

11

First Page

S39

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