Modified balloon vaginoplasty for high position vaginal atresia
Introduction The first-line approach for the management of distal vaginal atresia involves a pull-through vaginoplasty. If the proximal vagina is 3 cm or more from the introitus, the risk of stenosis is high, and an interposition graft may be necessary. We describe a safe, low-cost, and accessible a...
Gespeichert in:
| Veröffentlicht in: | Pediatric surgery international 2022-04, Vol.38 (4), p.631-635 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 635 |
|---|---|
| container_issue | 4 |
| container_start_page | 631 |
| container_title | Pediatric surgery international |
| container_volume | 38 |
| creator | Zhang, Mingle Meng, Li Du, Yanfang Zhao, Jiawei Li, Zhongkang Liu, Shouze Huang, Xianghua |
| description | Introduction
The first-line approach for the management of distal vaginal atresia involves a pull-through vaginoplasty. If the proximal vagina is 3 cm or more from the introitus, the risk of stenosis is high, and an interposition graft may be necessary. We describe a safe, low-cost, and accessible approach for distal vaginal atresia ≥ 3 cm that we call the “modified balloon vaginoplasty” and validate the technical feasibility and anatomical outcomes.
Methods
Ten patients who underwent modified balloon vaginoplasty were retrospectively evaluated. Age, symptoms at presentation, length of atresia, operation time, and postoperative complications were analyzed.
Results
All the cases were successfully performed without any intraoperative morbidity. The postoperative complications included one case of stenosis ring in the distal vagina because not right used vagina model. All the girls had regular menstruation and were satisfied with the surgical outcome.
Conclusion
Modified balloon vaginoplasty allows further distention of the distal vagina or thinning of the septum, which may decrease the risk of stenosis, is a beneficial choice for patients with distal vaginal atresia ≥ 3 cm. |
| doi_str_mv | 10.1007/s00383-022-05078-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2627133293</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2627133293</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-3f997a68edccf77c57f0e45168ed590dfe9adf72034535373b878b86bd320c083</originalsourceid><addsrcrecordid>eNp9kE1LAzEQhoMoWqt_wIMsePGyOslsNslJpPgFFS96DtndpI1sm5pshf57t7ZV8OBpYOaZd4aHkDMKVxRAXCcAlJgDYzlwEDJne2RACxS5khT3yQCoUDkgl0fkOKV3AJBYqkNyhJyiLHg5IDfPofHO2yarTNuGMM8-zcTPw6I1qVtlLsRs6ifTbBGS7_xubNrMdNEmb07IgTNtsqfbOiRv93evo8d8_PLwNLod5zUK3uXolBKmlLapaydEzYUDW3C67nAFjbPKNE4wwIIjR4GVFLKSZdUgg7p_e0guN7mLGD6WNnV65lNt29bMbVgmzUomKCJT2KMXf9D3sIz9z2sKhaSqwDXFNlQdQ0rROr2IfmbiSlPQa716o1f3evW3Xs36pfNt9LKa2eZnZeezB3ADpH40n9j4e_uf2C_59YRF</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2637819433</pqid></control><display><type>article</type><title>Modified balloon vaginoplasty for high position vaginal atresia</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Zhang, Mingle ; Meng, Li ; Du, Yanfang ; Zhao, Jiawei ; Li, Zhongkang ; Liu, Shouze ; Huang, Xianghua</creator><creatorcontrib>Zhang, Mingle ; Meng, Li ; Du, Yanfang ; Zhao, Jiawei ; Li, Zhongkang ; Liu, Shouze ; Huang, Xianghua</creatorcontrib><description>Introduction
The first-line approach for the management of distal vaginal atresia involves a pull-through vaginoplasty. If the proximal vagina is 3 cm or more from the introitus, the risk of stenosis is high, and an interposition graft may be necessary. We describe a safe, low-cost, and accessible approach for distal vaginal atresia ≥ 3 cm that we call the “modified balloon vaginoplasty” and validate the technical feasibility and anatomical outcomes.
Methods
Ten patients who underwent modified balloon vaginoplasty were retrospectively evaluated. Age, symptoms at presentation, length of atresia, operation time, and postoperative complications were analyzed.
Results
All the cases were successfully performed without any intraoperative morbidity. The postoperative complications included one case of stenosis ring in the distal vagina because not right used vagina model. All the girls had regular menstruation and were satisfied with the surgical outcome.
Conclusion
Modified balloon vaginoplasty allows further distention of the distal vagina or thinning of the septum, which may decrease the risk of stenosis, is a beneficial choice for patients with distal vaginal atresia ≥ 3 cm.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-022-05078-2</identifier><identifier>PMID: 35138456</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Bladder ; Catheters ; Constriction, Pathologic - surgery ; Female ; Gynecologic Surgical Procedures ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Original Article ; Pain ; Patients ; Pediatric Surgery ; Pediatrics ; Postoperative Complications - epidemiology ; Retrospective Studies ; Surgery ; Vagina ; Vagina - abnormalities ; Vagina - surgery</subject><ispartof>Pediatric surgery international, 2022-04, Vol.38 (4), p.631-635</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-3f997a68edccf77c57f0e45168ed590dfe9adf72034535373b878b86bd320c083</citedby><cites>FETCH-LOGICAL-c375t-3f997a68edccf77c57f0e45168ed590dfe9adf72034535373b878b86bd320c083</cites><orcidid>0000-0002-4609-1222</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-022-05078-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-022-05078-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35138456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Mingle</creatorcontrib><creatorcontrib>Meng, Li</creatorcontrib><creatorcontrib>Du, Yanfang</creatorcontrib><creatorcontrib>Zhao, Jiawei</creatorcontrib><creatorcontrib>Li, Zhongkang</creatorcontrib><creatorcontrib>Liu, Shouze</creatorcontrib><creatorcontrib>Huang, Xianghua</creatorcontrib><title>Modified balloon vaginoplasty for high position vaginal atresia</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Introduction
The first-line approach for the management of distal vaginal atresia involves a pull-through vaginoplasty. If the proximal vagina is 3 cm or more from the introitus, the risk of stenosis is high, and an interposition graft may be necessary. We describe a safe, low-cost, and accessible approach for distal vaginal atresia ≥ 3 cm that we call the “modified balloon vaginoplasty” and validate the technical feasibility and anatomical outcomes.
Methods
Ten patients who underwent modified balloon vaginoplasty were retrospectively evaluated. Age, symptoms at presentation, length of atresia, operation time, and postoperative complications were analyzed.
Results
All the cases were successfully performed without any intraoperative morbidity. The postoperative complications included one case of stenosis ring in the distal vagina because not right used vagina model. All the girls had regular menstruation and were satisfied with the surgical outcome.
Conclusion
Modified balloon vaginoplasty allows further distention of the distal vagina or thinning of the septum, which may decrease the risk of stenosis, is a beneficial choice for patients with distal vaginal atresia ≥ 3 cm.</description><subject>Abdomen</subject><subject>Bladder</subject><subject>Catheters</subject><subject>Constriction, Pathologic - surgery</subject><subject>Female</subject><subject>Gynecologic Surgical Procedures</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Postoperative Complications - epidemiology</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Vagina</subject><subject>Vagina - abnormalities</subject><subject>Vagina - surgery</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kE1LAzEQhoMoWqt_wIMsePGyOslsNslJpPgFFS96DtndpI1sm5pshf57t7ZV8OBpYOaZd4aHkDMKVxRAXCcAlJgDYzlwEDJne2RACxS5khT3yQCoUDkgl0fkOKV3AJBYqkNyhJyiLHg5IDfPofHO2yarTNuGMM8-zcTPw6I1qVtlLsRs6ifTbBGS7_xubNrMdNEmb07IgTNtsqfbOiRv93evo8d8_PLwNLod5zUK3uXolBKmlLapaydEzYUDW3C67nAFjbPKNE4wwIIjR4GVFLKSZdUgg7p_e0guN7mLGD6WNnV65lNt29bMbVgmzUomKCJT2KMXf9D3sIz9z2sKhaSqwDXFNlQdQ0rROr2IfmbiSlPQa716o1f3evW3Xs36pfNt9LKa2eZnZeezB3ADpH40n9j4e_uf2C_59YRF</recordid><startdate>20220401</startdate><enddate>20220401</enddate><creator>Zhang, Mingle</creator><creator>Meng, Li</creator><creator>Du, Yanfang</creator><creator>Zhao, Jiawei</creator><creator>Li, Zhongkang</creator><creator>Liu, Shouze</creator><creator>Huang, Xianghua</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4609-1222</orcidid></search><sort><creationdate>20220401</creationdate><title>Modified balloon vaginoplasty for high position vaginal atresia</title><author>Zhang, Mingle ; Meng, Li ; Du, Yanfang ; Zhao, Jiawei ; Li, Zhongkang ; Liu, Shouze ; Huang, Xianghua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-3f997a68edccf77c57f0e45168ed590dfe9adf72034535373b878b86bd320c083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdomen</topic><topic>Bladder</topic><topic>Catheters</topic><topic>Constriction, Pathologic - surgery</topic><topic>Female</topic><topic>Gynecologic Surgical Procedures</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pain</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Postoperative Complications - epidemiology</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Vagina</topic><topic>Vagina - abnormalities</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Mingle</creatorcontrib><creatorcontrib>Meng, Li</creatorcontrib><creatorcontrib>Du, Yanfang</creatorcontrib><creatorcontrib>Zhao, Jiawei</creatorcontrib><creatorcontrib>Li, Zhongkang</creatorcontrib><creatorcontrib>Liu, Shouze</creatorcontrib><creatorcontrib>Huang, Xianghua</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Mingle</au><au>Meng, Li</au><au>Du, Yanfang</au><au>Zhao, Jiawei</au><au>Li, Zhongkang</au><au>Liu, Shouze</au><au>Huang, Xianghua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Modified balloon vaginoplasty for high position vaginal atresia</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2022-04-01</date><risdate>2022</risdate><volume>38</volume><issue>4</issue><spage>631</spage><epage>635</epage><pages>631-635</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Introduction
The first-line approach for the management of distal vaginal atresia involves a pull-through vaginoplasty. If the proximal vagina is 3 cm or more from the introitus, the risk of stenosis is high, and an interposition graft may be necessary. We describe a safe, low-cost, and accessible approach for distal vaginal atresia ≥ 3 cm that we call the “modified balloon vaginoplasty” and validate the technical feasibility and anatomical outcomes.
Methods
Ten patients who underwent modified balloon vaginoplasty were retrospectively evaluated. Age, symptoms at presentation, length of atresia, operation time, and postoperative complications were analyzed.
Results
All the cases were successfully performed without any intraoperative morbidity. The postoperative complications included one case of stenosis ring in the distal vagina because not right used vagina model. All the girls had regular menstruation and were satisfied with the surgical outcome.
Conclusion
Modified balloon vaginoplasty allows further distention of the distal vagina or thinning of the septum, which may decrease the risk of stenosis, is a beneficial choice for patients with distal vaginal atresia ≥ 3 cm.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35138456</pmid><doi>10.1007/s00383-022-05078-2</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-4609-1222</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2022-04, Vol.38 (4), p.631-635 |
| issn | 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2627133293 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Abdomen Bladder Catheters Constriction, Pathologic - surgery Female Gynecologic Surgical Procedures Gynecology Humans Medicine Medicine & Public Health Original Article Pain Patients Pediatric Surgery Pediatrics Postoperative Complications - epidemiology Retrospective Studies Surgery Vagina Vagina - abnormalities Vagina - surgery |
| title | Modified balloon vaginoplasty for high position vaginal atresia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T17%3A53%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Modified%20balloon%20vaginoplasty%20for%20high%20position%20vaginal%20atresia&rft.jtitle=Pediatric%20surgery%20international&rft.au=Zhang,%20Mingle&rft.date=2022-04-01&rft.volume=38&rft.issue=4&rft.spage=631&rft.epage=635&rft.pages=631-635&rft.issn=0179-0358&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-022-05078-2&rft_dat=%3Cproquest_cross%3E2627133293%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2637819433&rft_id=info:pmid/35138456&rfr_iscdi=true |