INNOVATIVE MINIMALLY INVASIVE SURGICAL TREATMENT FOR PARTIAL HEMIVAGINAL APLASIA WITH UTERINE AND VAGINAL DUPLICATION. FIRST RUSSIAN EXPERIENCE


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Abstract

Objective: To develop a minimally invasive surgical treatment for partial vaginal aplasia, including uterine duplication. Materials and methods: The study included 35 patients with partial vaginal aplasia of one of the duplicated uteruses who were treated at the Department of Pediatric and Adolescent Gynecology, V.I. Kulakov NMRC from June to December 2021. Of them, 20 patients underwent vaginorectoscopic opening of the hematocolposis and vaginoplasty using an improved technique. Results: The operation time with the developed technique averaged 43 (5) minutes versus 116 (3) minutes in the comparison group. Mean blood loss during vaginorectoscopic plasty was 14 (2) ml compared with 73 (18) ml during the classical method (p<0.05). No vaginal strictures were observed after surgery with the vaginorectoscopic technique. Conclusion: In patients with partial hemivaginal aplasia and uterine duplication, vaginorectoscopic vaginoplasty is a safe and effective surgical treatment.

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About the authors

Zalina K. BATYROVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: linadoctor@mail.ru
PhD, Senior Researcher at the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Elena V. UVAROVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)

Email: elena-uvarova@yandex.ru
Corresponding member of the RAS, Dr. Med. Sci., Professor, Head of the Department of Pediatric and Adolescent Gynecology, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia; President of Interregional Public Organization "Association of Pediatric and Adolescent Gynecologists”; Professor at the Department of Obstetrics, Gynecology, Perinatology and Reproductology, Institute of Professional Education Moscow, Russia

Vladimir D. CHUPRYNIN

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: v_chuprynin@oparina4.ru
PhD, Head of the Surgical Department Moscow, Russia

Zaira Kh. KUMYKOVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: zai-kumykova@yandex.ru
PhD, Senior Researcher at the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Diana A. KRUGLYAK

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: diana.kruglyak@yandex.ru
doctor at the Department of Pediatric and Adolescent Gynecology Moscow, Russia

Elena A. FILIPPOVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: fla77@mail.ru
PhD, Head of the Department of Ultrasound Diagnostics in Neonatology and Pediatrics Moscow, Russia

Fatima Sh. MAMEDOVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia

Email: fmamedova@yandex.ru
PhD, doctor at the Department of Ultrasound Diagnostics in Neonatology and Pediatrics, Academician V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia; Аssistant at the Department of Radiation Diagnostics of Children, Russian Medical Academy of Continuing Professional Education, Ministry of Healthcare of Russia Moscow, Russia

Kirill V. KOSTYUKOV

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: kostyukov_k@yahoo.com
Dr. Med. Sci., Head of the Department of Functional and Ultrasound Diagnostics Moscow, Russia

Aleksandra V. ASATUROVA

Academician V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia

Email: a.asaturova@gmail.com
PhD, Head of the Department of Anatomic Pathology Moscow, Russia

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