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Robotic-Assisted Laparoscopic Approach to Removal of Müllerian Remnants
C A Kebodeaux1, J Appleton2, J E Dietrich1
1Division of Pediatric and Adolescent Gynecology, Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas; Division of Pediatric and Adolescent Gynecology, Department of Pediatric Surgery, Texas Children's Hospital, Houston, Texas.
Background:
Robotic-assisted laparoscopy (RAL) is an alternative to traditional laparoscopic surgery that might increase a surgeon's ability to offer minimally invasive removal of Müllerian remnants (MR) to patients with complex anatomy. We report on 2 cases of RAL resection of MR.
Cases:
RAL allowed for adequate resection of MR without complications in 2 cases. Case 1 was a 13 year-old female adolescent with VACTERL and uterine remnant close to the ureter of her ipsilateral single kidney. Case 2 was a 16 year-old female adolescent with cloacal exstrophy and omphalocele with remnant hindgut and cervical remnant deep in the pelvis close to the ileal conduit.
Summary And Conclusion:
In 2 adolescents with complex anatomy and surgical history, RAL allowed for successful removal of MR.
