Vaginoscopy approach with Mechanical Tissue Removal System for AUB inPediatric Aplastic Anemia: a case report

For pediatric patients with AA-associated AUB, the combination of vaginoscopy and mHTRs represents a promising surgical alternative. Compared to traditional approaches, this technique allows minimally invasive lesion resection while preserving endometrium and hymen integrity, addressing the main concern for pediatric patients. Furthermore, integrating multidisciplinary expertise and precise transfusion management ensures the safety of surgery and hemodynamics. This approach provides a clinically feasible, patient-tailored solution for a complex population with limited treatment options.