A Rare Case of Ohvira Requiring Laparoscopic Hemihysterectomy

IF 3.3 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2025-10-22 DOI:10.1016/j.jmig.2025.09.102

E Lehembre-Shiah, K Das, A Mayhew

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引用次数: 0

Abstract

Study Objective

Our goal in this video is to present an unusual case of OHVIRA requiring laparoscopic hemihysterectomy. We share our approach to pre-operative surgical planning and intra-operative decision-making in these difficult cases and then we demonstrate our surgical technique for performing a laparoscopic hemihysterectomy for this particular variant of OHVIRA syndrome.

Design

Case presentation of the pre-operative and intra-operative process with video documentation.

Setting

We performed a laparoscopic hemihysterectomy in the operating room of a children's hospital. The patient was placed in dorsal low-lithotomy position.

Patients or Participants

A 14-year-old female with OHVIRA syndrome causing chronic pelvic pain.

Interventions

Laparoscopic hemihysterectomy

Measurements and Primary Results

Resolution of pelvic pain and removal of menstrual obstruction.

Conclusion

In certain OHVIRA anomaly variants, laparoscopic hemihysterectomy is the most appropriate surgical approach. A combined ultrasound and physical-exam assessment in the operating room, can help enhance decision-making ability regarding best surgical approach for OHVIRA variants. This strategy can help prevent failed initial attempts at vaginal resection which lead to increased OR time, post-op pain, and surgical complications.

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一例罕见的Ohvira需要腹腔镜半子宫切除术

我们的目的是在这个视频中提出一个不寻常的病例OHVIRA需要腹腔镜半子宫切除术。我们分享我们的方法术前手术计划和术中决策在这些困难的情况下，然后我们展示我们的手术技术进行腹腔镜半子宫切除术对这种特殊的变异OHVIRA综合征。设计用视频文件演示术前和术中过程。我们在一家儿童医院的手术室进行了腹腔镜半子宫切除术。患者采用背侧低位取石位。患者或参与者：14岁女性OHVIRA综合征引起慢性盆腔疼痛。介入：腹腔镜半子宫切除术测量和初步结果盆腔疼痛的缓解和月经梗阻的清除。结论对于某些OHVIRA异常变异，腹腔镜半子宫切除术是最合适的手术方式。在手术室进行超声和体格检查相结合的评估，可以帮助提高对OHVIRA变异的最佳手术方法的决策能力。这种策略可以帮助防止阴道切除术失败的首次尝试，从而增加手术时间，术后疼痛和手术并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.