{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:28:20Z","timestamp":1787776100506,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"\n Background:<\/jats:title>\n This study performed a literature analysis to determine outcomes of laparoscopic management in M\u00fcllerian duct remnants (MDRs).<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods:<\/jats:title>\n Literature was searched for terms \u2018M\u00fcllerian\u2019 \u2018duct\u2019 \u2018remnants\u2019 and \u2018laparoscopy'. Primary end points were age at surgery, laparoscopic technique, intraoperative complications and postoperative morbidity.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n The search revealed 10 articles (2003\u20132014) and included 23 patients with mean age of 1.5 years (0.5\u201318) at surgery. All patients were 46XY,\n n<\/jats:italic>\n = 1 normal male karyotype with two cell lines. Explorative laparoscopy was performed in\n n<\/jats:italic>\n = 2 and surgical management in\n n<\/jats:italic>\n = 21. The 5-port technique was used in\n n<\/jats:italic>\n = 10, 3-port in\n n<\/jats:italic>\n = 9 and robot-assisted laparoscopic approach in\n n<\/jats:italic>\n = 1 (\n n<\/jats:italic>\n = 1 technique not described). Complete MDRs removal in\n n<\/jats:italic>\n = 9, complete dissection and MDRs neck ligation with endoscopic loops in\n n<\/jats:italic>\n = 11 and\n n<\/jats:italic>\n = 1 uterus and cervix were split in the midline. After MDRs removal, there were\n n<\/jats:italic>\n = 2 bilateral orchidopexy,\n n<\/jats:italic>\n = 3 unilateral orchidopexy,\n n<\/jats:italic>\n = 1 Fowler\u2013Stephens stage-I and\n n<\/jats:italic>\n = 1 orchiectomy. Mean operative time was 193 min (120\u2013334), and there were no intraoperative complications. Mean follow-up was 20.5 months (3\u201354) and morbidity included 1 prostatic diverticula. There were 13 associations with hypospadias, of which 3 had mixed gonads and 3 bilateral cryptorchidism. Other associations were unilateral cryptorchidism and incarcerated inguinal hernia\n n<\/jats:italic>\n = 1, right renal agenesis and left hydronephrosis\n n<\/jats:italic>\n = 1 and\n n<\/jats:italic>\n = 2 with transverse testicular ectopy.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This MDRs analysis suggests that the laparoscopic approach is an effective and safe method of treatment as no intraoperative complication has reported, and there is low morbidity in the long-term follow-up.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jmas.jmas_213_16","type":"journal-article","created":{"date-parts":[[2017,8,1]],"date-time":"2017-08-01T06:55:42Z","timestamp":1501570542000},"page":"95-98","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":10,"title":["Laparoscopic management of M\u00fcllerian duct remnants in the paediatric age: Evidence and outcome analysis"],"prefix":"10.4103","volume":"14","author":[{"given":"Maja","family":"Raicevic","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery and Orthopedics, Clinical Center Nis, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amulya Kumar","family":"Saxena","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Chelsea Children's Hospital, Chelsea and Westminster NHS Foundation Trust, Imperial College London, London, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"11 Pt C","key":"R1-20250519","first-page":"E1084","article-title":"Persistent M\u00fcllerian duct syndrome: Lessons learned from managing a series of eight patients over a 10-year period and review of literature regarding malignant risk from the M\u00fcllerian remnants","volume":"110","author":"Farikullah","year":"2012","journal-title":"BJU 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