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Chapter-25 Pregnancies Following Reconstructive Surgery for Congenital Cervicovaginal Atresia

BOOK TITLE: Practical Guide in Reproductive Surgery

Author

1. Chakravarty BN
2. Chakravarty M
3. Bakshi KD
4. Roychowdhury NN

ISBN

9789352704842

DOI

10.5005/jp/books/18067_26

Edition

1/e

Publishing Year

2018

Pages

Author Affiliations

1. Institute of Reproductive Medicine, Kolkata, Institute of Reproductive Medicine, Kolkata, West Bengal, Institute of Reproductive Medicine, Salt Lake, Kolkata, Institute of Reproductive Medicine, Salt Lake City, Kolkata, India, Institute of Reproductive Medicine (Irm), Salt Lake, Kolkata, India, Institute of Reproductive Medicine, HB-36/A/3, Sector-III, Salt Lake City, Kolkata, Institute of Reproductive Medicine, Kolkata, West Bengal, India, Institute of Reproductive Medicine, Salt Lake City, Kolkata, West Bengal, India, Kolkata, Kolkata, West Bengal, India
2. Institute of Reproductive Medicine, Kolkata, West Bengal, India
3. AMRI Hospitals, Kolkata, West Bengal, India
4. Medical College, Kolkata, West Bengal, India

Chapter keywords

Reconstructive surgery, congenital cervicovaginal atresia, reproductive function, pregnancy, surgical treatment, surgical approach, menstrual function

Abstract

Abstract

Reconstructive surgery for congenital cervicovaginal atresia with a functioning uterus performed at younger age may offer better prospect for restoration of menstrual and reproductive function. Pregnancy following surgical correction of congenital uterocervicovaginal atresia is very rare. Even the surgical treatment is controversial in cases where there is a functioning uterus with agenesis of cervix and vagina. Majority are in favor of hysterectomy because of the consequent risk of pelvic infection, endometriosis and recurrent stenosis following canalization of cervicovaginal atresia. This chapter covers the basis of surgical approach and materials and methods of diagnosis. The objective of therapeutic approach is to restore sexual and if possible the menstrual and reproductive functions.

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