Laparoscopy in uterovaginal anomalies

Providing its excellent visualization, access to pelvic structures, and less postoperative adhesion, laparoscopy has been an important tool for the treatment of uterovaginal anomalies. We have used it to define the anomaly, monitor endometriosis or a hysteroscopic procedure, replace an absent vagina, and resect abnormal Müllerian structures. This article details the technique and reports the results of the use of operative laparoscopy for the treatment of uterovaginal anomalies in children and adolescents. The author’s experience demonstrates some“nonclassical” applications of endosurgery in the management of these anomalies in the pediatric age.

Keywords: Uterovaginal anomalies, Laparoscopic pediatric gynecology, Vaginal replacement, Müllerian malformations, Hematometrocolpos