Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review
Müllerian anomalies (MA) are structural defects that arise due to alterations in the development of the paramesonephric or Müllerian ducts during the first 16 weeks of gestation. Few cases have been reported on laparoscopic management as a diagnostic and therapeutic method in Müllerian anomalies. Th...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Journal of Pediatric Surgery Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949711625000127 |
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| author | Mario Riquelme Juan Pelayo Irving Cardenas-Medina Ana Cantu-Zendejas Alejandro Cendejas-Higuera Eduardo Olazabal Mario Palafox |
| author_facet | Mario Riquelme Juan Pelayo Irving Cardenas-Medina Ana Cantu-Zendejas Alejandro Cendejas-Higuera Eduardo Olazabal Mario Palafox |
| author_sort | Mario Riquelme |
| collection | DOAJ |
| description | Müllerian anomalies (MA) are structural defects that arise due to alterations in the development of the paramesonephric or Müllerian ducts during the first 16 weeks of gestation. Few cases have been reported on laparoscopic management as a diagnostic and therapeutic method in Müllerian anomalies. This study presents a retrospective case series of 9 patients diagnosed with Müllerian anomalies. A diagnostic approach was performed on 9 patients with suspected Müllerian anomalies, including 3 patients with OHVIRA Syndrome. Of all patients, 8 of them were treated with minimally invasive procedures, and one delayed the treatment. Our findings highlight the importance of employing advanced imaging techniques, such as MRI and UroCT, in complex cases to ensure accurate diagnosis and optimal surgical planning. Our case series demonstrates that most patients can have their condition successfully managed through a minimally invasive approach, as highlighted in the reported cases. Future studies should focus on expanding the clinical evidence base, focusing on long-term follow-up to assess fertility outcomes, quality of life and durability of these surgical interventions. |
| format | Article |
| id | doaj-art-342f85b926cd49478d023c5fa047a52d |
| institution | OA Journals |
| issn | 2949-7116 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Open |
| spelling | doaj-art-342f85b926cd49478d023c5fa047a52d2025-08-20T02:25:01ZengElsevierJournal of Pediatric Surgery Open2949-71162025-04-011010020310.1016/j.yjpso.2025.100203Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature reviewMario Riquelme0Juan Pelayo1Irving Cardenas-Medina2Ana Cantu-Zendejas3Alejandro Cendejas-Higuera4Eduardo Olazabal5Mario Palafox6Christus Muguerza Hospital, Monterrey, Nuevo Leon, Mexico; Corresponding author at: 15 de Mayo 1822-l, Maria Luisa, Nuevo Obispado, 64040 Monterrey, N.L, Mexico.Sinai Medical Center Guerin's Children, Los Angeles, CA, USAInstituto Mexicano del Seguro Social, Monterrey, Nuevo León, MexicoHospital Christus Muguerza, Monterrey, Nuevo Leon, MexicoHospital Christus Muguerza, Monterrey, Nuevo Leon, MexicoUniversity Hospital, Torreon, Coahuila, MexicoChildren Hospital, Puebla, MexicoMüllerian anomalies (MA) are structural defects that arise due to alterations in the development of the paramesonephric or Müllerian ducts during the first 16 weeks of gestation. Few cases have been reported on laparoscopic management as a diagnostic and therapeutic method in Müllerian anomalies. This study presents a retrospective case series of 9 patients diagnosed with Müllerian anomalies. A diagnostic approach was performed on 9 patients with suspected Müllerian anomalies, including 3 patients with OHVIRA Syndrome. Of all patients, 8 of them were treated with minimally invasive procedures, and one delayed the treatment. Our findings highlight the importance of employing advanced imaging techniques, such as MRI and UroCT, in complex cases to ensure accurate diagnosis and optimal surgical planning. Our case series demonstrates that most patients can have their condition successfully managed through a minimally invasive approach, as highlighted in the reported cases. Future studies should focus on expanding the clinical evidence base, focusing on long-term follow-up to assess fertility outcomes, quality of life and durability of these surgical interventions.http://www.sciencedirect.com/science/article/pii/S2949711625000127Müllerian anomaliesOhvira syndromeDidelphic uterusMinimally invasive surgeryObstructed hemivaginaMultiseptated transverse septum |
| spellingShingle | Mario Riquelme Juan Pelayo Irving Cardenas-Medina Ana Cantu-Zendejas Alejandro Cendejas-Higuera Eduardo Olazabal Mario Palafox Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review Journal of Pediatric Surgery Open Müllerian anomalies Ohvira syndrome Didelphic uterus Minimally invasive surgery Obstructed hemivagina Multiseptated transverse septum |
| title | Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review |
| title_full | Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review |
| title_fullStr | Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review |
| title_full_unstemmed | Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review |
| title_short | Minimally invasive management of Müllerian anomalies in pediatric patients: A retrospective case series and literature review |
| title_sort | minimally invasive management of mullerian anomalies in pediatric patients a retrospective case series and literature review |
| topic | Müllerian anomalies Ohvira syndrome Didelphic uterus Minimally invasive surgery Obstructed hemivagina Multiseptated transverse septum |
| url | http://www.sciencedirect.com/science/article/pii/S2949711625000127 |
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