Mustafa Basaran1, Deniz Usal, Cumhur Aydemir. 1. Zonguldak Karaelmas University, Department of Obstetrics and Gynecology, Esenkoy, Kozlu 67600 Zonguldak, Turkey. mbasaran@med.karaelmas.edu.tr
Abstract
BACKGROUND: Imperforate hymen, with an incidence between 0.1% and 0.05%, is the most common obstructive congenital abnormality of the female genital tract. 'Standard' surgical treatment of imperforate hymen involves hymenectomy after a cruciate, plus, or X-shaped hymenotomy incision. CASES: Two cases with imperforate hymen treated with a simple vertical incision are presented. A few oblique sutures were used to prevent refusion. Postoperative follow up was uneventful. SUMMARY AND CONCLUSION: The importance of the integrity of hymen changes in different cultures and religious groups. Option of a hymen sparing procedure is readily preferred by most of these patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option.
BACKGROUND: Imperforate hymen, with an incidence between 0.1% and 0.05%, is the most common obstructive congenital abnormality of the female genital tract. 'Standard' surgical treatment of imperforate hymen involves hymenectomy after a cruciate, plus, or X-shaped hymenotomy incision. CASES: Two cases with imperforate hymen treated with a simple vertical incision are presented. A few oblique sutures were used to prevent refusion. Postoperative follow up was uneventful. SUMMARY AND CONCLUSION: The importance of the integrity of hymen changes in different cultures and religious groups. Option of a hymen sparing procedure is readily preferred by most of these patients and families. Also preservation of hymenal tissue, hence the perception of 'integrity' of female genitalia, might be an alternative treatment option.
Authors: Foster Amponsah-Manu; Paddy Ssentongo; Temitope Arkorful; Richard Ofosu-Akromah; Anna E Ssentongo; Seth Hansen-Garshong; John S Oh Journal: Int J Surg Case Rep Date: 2019-09-18
Authors: Olívia Maria Ferraz Ferrarini; Lívia Oliveira Munhoz; Ricardo Santos Simões; Pérsio Yvon Adri Cezarino; Mauricio Paulo Ângelo Mieli; Paulo Francisco Ramos Margarido; Fábio José Guida; Edmund Chada Baracat Journal: Autops Case Rep Date: 2014-09-30