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Current Opinion in Obstetrics and Gynecology - Featured Articles - Editor Picks
Surgical methods in the treatment of congenital anomalies of the uterine cervix
Roberts, Carla P.; Rock, John A.Purpose of review: Cervical agenesis is an extremely rare congenital anomaly of the female reproductive tract. There are many anatomical forms that constitute this type of cervical abnormality and the literature is replete with attempts to surgically restore a patent outflow tract and preserve fertility in these patients. There are no carefully designed cohort or randomized trials to support a best surgical practice; past reports are descriptive only. Recent findings: Of late, there has been renewed interest in the surgical treatment of cervical dysgenesis with techniques both through laparotomy with hysterotomy and more recently, minimally invasive approaches, which have attempted to restore a patent outflow tract without perineal dissection or graft harvesting in an attempt to avoid uterovaginal scarring if further surgery is necessary. To maintain consistency in the field of surgical reconstruction of the female reproductive tract, there has been a call for streamlined classifications of the anatomical abnormalities observed to better compare patient findings and the outcome of their surgical reconstruction in the literature. Summary: The authors discuss the embryological development of this rare reproductive tract abnormality and have proposed a systematic surgical strategy for each anatomic finding. Ultimately, counseling patients on the best surgical approach requires a discussion on the potential postoperative complications, the degree of cervical abnormality, and the patient's desired treatment outcome. Whether the patient desires definitive treatment with a hysterectomy to avoid the risk of further surgery or, when anatomically appropriate, she wants to pursue a patent outflow tract and the possibility of future childbearing, evidence-based medicine must become the source for surgical strategies.
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Surgical methods in the treatment of congenital anomalies of the uterine cervix
Roberts, Carla P.; Rock, John A.Purpose of review: Cervical agenesis is an extremely rare congenital anomaly of the female reproductive tract. There are many anatomical forms that constitute this type of cervical abnormality and the literature is replete with attempts to surgically restore a patent outflow tract and preserve fertility in these patients. There are no carefully designed cohort or randomized trials to support a best surgical practice; past reports are descriptive only. Recent findings: Of late, there has been renewed interest in the surgical treatment of cervical dysgenesis with techniques both through laparotomy with hysterotomy and more recently, minimally invasive approaches, which have attempted to restore a patent outflow tract without perineal dissection or graft harvesting in an attempt to avoid uterovaginal scarring if further surgery is necessary. To maintain consistency in the field of surgical reconstruction of the female reproductive tract, there has been a call for streamlined classifications of the anatomical abnormalities observed to better compare patient findings and the outcome of their surgical reconstruction in the literature. Summary: The authors discuss the embryological development of this rare reproductive tract abnormality and have proposed a systematic surgical strategy for each anatomic finding. Ultimately, counseling patients on the best surgical approach requires a discussion on the potential postoperative complications, the degree of cervical abnormality, and the patient's desired treatment outcome. Whether the patient desires definitive treatment with a hysterectomy to avoid the risk of further surgery or, when anatomically appropriate, she wants to pursue a patent outflow tract and the possibility of future childbearing, evidence-based medicine must become the source for surgical strategies.
Sites:
Gynecology and Reproductive Biology: Publishes original research, reviews and case reports in the fields of obstetrics, prenatal diagnosis, general gynecology and reproductive endocrinology.Archives of Gynecology and Obstetrics: Archives of Gynecology and Obstetrics - Gynecology. "The Archives of Gynecology and Obstetrics" was founded in 1870 as "Archiv für Gynaekologie" and has a long and outstanding tradition. Since 1922 the journal ha...
AWHONN Lifelines: AWHONN Lifelines: journal information, contents and abstracts on the Blackwell Publishing website
Clinical Obstetrics and Gynecology: Each issue covers two topics of interest to practicing obstetricians and gynecologists.
Current Opinion in Obstetrics and Gynecology: Six issues per year with literature reviews, views of the leading experts and annotated references.
Fetal and Maternal Medicine Review: Publishes high quality reviews drawn from all relevant disciplines in this rapidly expanding field.
Green Journal - Obstetrics And Gynecology: Web site for Obstetrics & Gynecology.
International Journal of Gynecological Cancer: International Journal of Gynecological Cancer: journal information, contents lists and abstracts on the Blackwell Publishing website.
International Journal of Gynecological Pathology: Official journal of the International Society of Gynecological Pathologists. Table of contents, author guidelines, editorial board and subscription information.
Journal of Obstetric, Gynecologic and Neonatal Nursing: Journal of Obstetric, Gynecologic, & Neonatal Nursing: information, contents and abstracts on the Blackwell Publishing website.
Journal Of Obstetrics And Gynecology: Reviews advances in Obstetrics and Gynecology. Journal of Obstetrics and Gynecology.
Journal of Pelvic Surgery: Latest research, scientific advances, and clinical experience in the area of pelvic surgery.
MedBioWorld: Links to Obstetrics, Gynecology & Pediatric Journals
Menopause: Research, applied basic science, and clinical guidelines on all aspects of menopause.
Obstetrical and Gynecological Survey: Table of contents, author guidelines, editorial board and subscription information.
Reproductive Medicine Review: Publishes up-to-date reviews of reproductive medicine, particularly in relation to scientific discoveries underpinning developments in clinical practice.
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