Turab Janbakhishov saved the teenager from severe pain

Recently, a family living in one of our regions applied to Turab Janbakhishov, the head of the obstetrics and gynecology department of the AMU Teaching Surgery Clinic, for a very different operation. The family had been complaining for a year that their young daughters were suffering from menstrual bleeding and severe pain every month, despite reaching adulthood. The pain of a 15-year-old girl, who was hospitalized several times, did not decrease despite all the treatments. Doctors say the problem is caused by internal organs and can be removed surgically.
The family also turned to T. Janbakhishova.
We also talked to Dr. Turab to find out the final outcome of this complex operation: “After a thorough examination, the patient is diagnosed with an aplastic uterus, a very rare“ Mullerian anomaly ”in one in a million people. Uterine and tubal defects are grouped in the Mullerian anomalies and occur in about 0.2 percent of women worldwide. Depending on the severity of the defects, there are those who need surgery and those who do not.

Defects that do not require surgery do not interfere with reproductive function, and in 90% of those who need surgery, reproductive function is restored after correction. However, the diagnosis of our patient is one of the few Mullerian defects in the world. Thus, the uterus and ovaries are fully developed. The uterus, on the other hand, forms a single triangular single-cavity organ with a combination of right and left Müllerian canals, and instead of joining the lower developing uterus, the left Müllerian canal completes its development with a single left tube, creating an endometrial cavity in the left side wall of the pelvis. The right Müllerian canal completes the development of the right tube in the right lateral wall of the pelvis without creating an endometrial cavity with a single tube. As a result, menstrual blood is formed in the left hemisphere with the development of hormones in the developing uterus. However, because there was no access to the uterus, the blood flowed into the abdomen through a single fallopian tube, not out.

This is the reason for the sharp pains. "
Continuing his speech, T.Janbakhishov also informed about the operation plan: “We explained the patient's diagnosis to the family in detail and advised him to have an operation. And it was decided not to remove the incomplete uterus, but to correct it and unite it through the uterus. It was also considered appropriate to intervene endoscopically, not by cutting the anterior wall of the young girl's abdomen.

The plan called for hysteroscopy of the uterine tract, as well as the removal of underdeveloped fibrous tissue, half-uterus without mucous membranes, and remnants of underdeveloped fallopian tubes. In particular, it was recommended to open an undeveloped but semi-uterine cavity with a mucous membrane and a fully developed but blind uterus, as well as to connect the uterus with a half-uterus.

The operation lasted about 2.5 hours endoscopically and was successful. After staying in the hospital for three days, our patient was discharged home without any pain or complaints.
The family of the 15-year-old girl, who was satisfied with the successful operation and survived a serious illness, thanked the management of AMU and the Teaching Surgery Clinic, as well as the head of the obstetrics and gynecology department Turab Janbakhishova and accompanying medical staff.

Note that those interested can watch a video of the unique operation at: https://www.youtube.com/watch?v=tZAmAL9Wsvg.