Minimally Invasive Endoscopic Approach for Management of OHVIRA Syndrome

Journal of Obstetrics and Gynaecology of India
Alka KriplaniIsha Kriplani

Abstract

Herlyn-Werner-Wunderlich syndrome is an uncommon entity characterized by uterus didelphys, obstructed hemivagina and ipsilateral renal agenesis (also called OHVIRA syndrome). Due to rarity and varied presentations, often correct diagnosis is missed out during work up, leading to management problems. We describe our dependence on detailed preoperative work up and minimally invasive endoscopic approach in management of the eight patients of OHVIRA syndrome. In this retrospective case series study, eight patients of OHVIRA syndrome were managed from January 2012 to March 2018 with the help of improved imaging facility and diagnostic work up. Precise diagnosis helped in adopting minimally invasive approach in management. Patients were reviewed, focusing on presentation, radiologic findings and surgical management. Median age at diagnosis was 19 years (range 13-41 years). Abdominal pain and dysmenorrhea were the main presenting complaint. All patients except one had associated ipsilateral renal agenesis. Surgical excision of the obstructed hemivaginal septum and hematometra drainage was the main treatment. In seven patients, vaginoscopic resection of vaginal septum was done with resectoscope except one 41-year-old patient, where res...Continue Reading

References

Jun 28, 2000·European Journal of Obstetrics, Gynecology, and Reproductive Biology·P K Heinonen
Aug 20, 2004·Radiology·Robert N Troiano, Shirley M McCarthy
Feb 27, 2007·Fertility and Sterility·Nicole A Smith, Marc R Laufer
Mar 17, 2012·Journal of Pediatric and Adolescent Gynecology·Anitha MandavaS Smitha
Mar 8, 2013·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jiali TongJinghe Lang
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Jan 28, 2014·Clinical Imaging·Funda Gungor UgurlucanSuleyman Engin Akhan
Nov 1, 2014·Australasian Journal of Ultrasound in Medicine·Neetika Mishra, Stanley Ng

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Citations

Mar 17, 2021·The Journal of Obstetrics and Gynaecology Research·Savia PittokopitouEkaterini Domali
Apr 20, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Meng YangYi Hua

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