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Application of Transperineal and Transabdominal Ultrasonography in the Repair of Distal Vaginal Atresia: A Report of Three Cases
Received: 18 Dec 2018 | Received in revised form: 18 Mar 2019
Accepted: 19 Mar 2019 | Available online: 29 Mar 2019
J Clin Obstet Gynecol. 2019;29(2):77-80
DOI: 10.5336/jcog.2018-64296
Article Language: EN
Article Language: EN
Copyright Ⓒ 2020 by Türkiye Klinikleri. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
ABSTRACT
Distal vaginal atresia is one of the rare Mullerian anomalies and may often be misdiagnosed as an imperforate hymen. This paper reports pre-operative and intra-operative use of ultrasonography in three patients with distal vaginal atresia. Two patients underwent pull-through surgery and in the other patient, a neovagina was formed using skin graft as the proximal vagina was found to be insufficient for a pull-through vaginoplasty. Pre-operative transperineal ultrasonography and intra-operative transabdominal ultrasonography may prove to be useful in surgical planning and choosing the proper surgical procedure. It also helps prevent damage to adjacent tissues.
Distal vaginal atresia is one of the rare Mullerian anomalies and may often be misdiagnosed as an imperforate hymen. This paper reports pre-operative and intra-operative use of ultrasonography in three patients with distal vaginal atresia. Two patients underwent pull-through surgery and in the other patient, a neovagina was formed using skin graft as the proximal vagina was found to be insufficient for a pull-through vaginoplasty. Pre-operative transperineal ultrasonography and intra-operative transabdominal ultrasonography may prove to be useful in surgical planning and choosing the proper surgical procedure. It also helps prevent damage to adjacent tissues.
KEYWORDS: Distal vaginal atresia; transabdominal ultrasonography; transperineal ultrasonography; surgical repair; surgical treatment
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