Contents    Cover    Publication Date: 25.06.2019
Year 2019 - Volume 29 - Issue 2
CASE REPORTS

Application of Transperineal and Transabdominal Ultrasonography in the Repair of Distal Vaginal Atresia: A Report of Three Cases

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JCOG 2019;29(2):77-80
DOI: 10.5336/jcog.2018-64296
Article Language: EN
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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.
REFERENCES:
  1. Breech LL, Laufer MR. Müllerian anomalies. Obstet Gynecol Clin North Am. 2009;36(1):47-68. [Crossref] [PubMed]
  2. Hugosson C, Jorulf H, Bakri Y. MRI in distal vaginal atresia. Pediatr Radiol. 1991;21(4): 281-3. [Crossref]
  3. The American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion, tubal occlusion secondary to tubal ligation, tubal pregnancies, mullerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49(6):944-55.[Crossref]
  4. Grimbizis GF, Gordts S, Di Spiezio Sardo A, Brucker S, De Angelis C, Gergolet M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032-44.[Crossref] [PubMed] [PMC]
  5. Miller RJ, Breech LL. Surgical correction of vaginal anomalies. Clin Obstet Gynecol. 2008;51(2):223-36. [Crossref] [PubMed]
  6. Khunda SS, Al-Omari S. A new approach in the management of lower Mullerian atresia. J Obstet Gynaecol. 1998;18(6):566-8. [Crossref] [PubMed]
  7. Mansouri R, Dietrich JE. Postoperative course and complications after pull-through vaginoplasty for distal vaginalatresia. J Pediatr Adolesc Gynecol. 2015;28(6):433-6. [Crossref] [PubMed]
  8. Kresowik J, Ryan GL, Austin JC, Van Voorhis BJ. Ultrasound-assisted repair of a unique case of distal vaginal agenesis. Fertil Steril. 2007;87(4):e976.e9-12. [Crossref] [PubMed]
  9. Meyer WR, McCoy MC, Fritz MA. Combined abdominal-perineal sonography to assist in diagnosis of transverse vaginal septum. Obstet Gynecol. 1995;85(5 Pt 2):882-4. [Crossref]
  10. Edwards-Freeman C, Amin HK, Abiri M, Giustino PB. The use of intraoperative ultrasonography in the surgical correction of a transverse vaginal septum. J Clin Ultrasound. 1991;19(1):48-50. [Crossref] [PubMed]
  11. Wu HM, Huang HY, Lee CL, Soong YK. Laparoscopic ultrasonography for uterovaginal canalization of a didelphic uterus with agenetic cervix. J Am Assoc Gynecol Laparosc. 2002;9(3):376-9. [Crossref]
  12. Ludwin A, Ludwin I, Bhagavath B, Martins WP, Lindheim SR. Virginity-sparing management of blind hemivagina in obstructed hemivagina and ipsilateral renal anomaly syndrome. Fertil Steril. 2018;110(5):976-78. [Crossref] [PubMed]
  13. Ciftci I. Laparoscopic-assisted perineal pullthrough vaginoplasty. J Pediatr Surg. 2012;47(4):e13-5. [Crossref] [PubMed]
  14. van Bijsterveldt C, Willemsen W. Treatment of patients with a congenital transversal vaginal septum or a partial aplasia of the vagina. The vaginal pull-through versus the push-through technique. J Pediatr Adolesc Gynecol. 2009;22(3):157-61. [Crossref] [PubMed]
  15. Quinn T, Erickson V, Knudson MM. Down?s syndrome, precocious puberty, and transverse vaginal septum: an unusual cause of abdominal pain. J Pediatr Surg. 2001;36(4):641-3.[Crossref] [PubMed]
  16. Nikolaev VV, Bizhanova DA. Perineal reconstruction in girls with high vaginal atresia. J Urol. 1998;159(6):2140-2. [Crossref]