Hymen conservative techniques for vaginal surgery – a practical approach

Zaki Sleiman; Amal Ayed; Costas Christoforou; Marco Noventa; Amerigo Vitagliano; Antonio Simone Laganà; Giovanni Buzzaccarini

doi:10.5114/pm.2022.113556

eISSN: 2299-0038
ISSN: 1643-8876

Menopause Review/Przegląd Menopauzalny

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1/2022
vol. 21

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abstract:

Case report

Hymen conservative techniques for vaginal surgery – a practical approach

Zaki Sleiman

¹

,

Amal Ayed

²

,

Costas Christoforou

³

,

Marco Noventa

⁴

,

Amerigo Vitagliano

⁴

,

Antonio Simone Laganà

⁵

,

Giovanni Buzzaccarini

⁴

Department of Obstetrics and Gynaecology, Lebanese American University, Beirut, Lebanon

Department of Obstetrics and Gynaecology, Farwanya Hospital, MOH, Kuwait

Christoforou Clinic, Cyprus

Department of Women’s and Children's Health,, University of Padua, Italy

Department of Obstetrics and Gynaecology, “Filippo Del Ponte” Hospital, University of Insubria, Varese, Italy

Menopause Rev 2022; 21(1): 64-68

DOI: https://doi.org/10.5114/pm.2022.113556

Online publish date: 2022/02/11

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Vaginal approach remains one of the safest and easiest surgical procedures to treat many gynaecological pathologies such as cervico-vaginal fibroids or vaginal septum.

These classical procedures are, however, hindered by the disruption of the integrity of the hymen, an issue that remains controversial if not unfavourable in certain conservative geographical areas such as the Middle East.

Herein, we describe 3 alternative surgical laparoscopic techniques to deal with the issue of hymen conservation. In the first 2 cases we suggest a laparoscopic approach through an anterior or a posterior colpotomy to treat large cervico-vaginal fibroids. In the third case, we propose a laparoscopic technique for the resection of a vaginal septum in a young girl with obstructed hemivagina and ipsilateral renal agenesis syndrome.

keywords:

Hymen conservative techniques for vaginal surgery – a practical approach

Zaki Sleiman 1 , Amal Ayed 2 , Costas Christoforou 3 , Marco Noventa 4 , Amerigo Vitagliano 4 , Antonio Simone Laganà 5 , Giovanni Buzzaccarini 4

colpotomy, hymen preservation, vaginal fibroids, mini-laparotomy

Zaki Sleiman

¹

,

Amal Ayed

²

,

Costas Christoforou

³

,

Marco Noventa

⁴

,

Amerigo Vitagliano

⁴

,

Antonio Simone Laganà

⁵

,

Giovanni Buzzaccarini

⁴