Management of transverse vaginal septum using the Olbert balloon catheter to mobilize the proximal vaginal mucosa and facilitate low anastomosis.

Abstract

OBJECTIVE:

To mobilize and make available for anastomosis the maximal amount of mucosa from the expanded upper vaginal tissue and avoid postoperative narrowing of the vagina.

DESIGN:

Technique paper.

SETTING:

Tertiary care medical center.

PATIENT(S):

Patients with a hematocolpos due to transverse vaginal septum.

INTERVENTION(S):

Pull through of proximal distended vagina using an Olbert balloon catheter.

MAIN OUTCOME MEASURE(S):

To avoid midvaginal narrowing due to retraction of the suture line in the surgical management of transverse vaginal septum with hematocolpos.

RESULT(S):

High-pressure balloon expansion of the proximal hematocolpos optimizes the vaginal mucosa available for final anastomosis.

CONCLUSION(S):

The use of a high-pressure dilatation balloon permits high intraballoon pressures that facilitate the surgical management of transverse vaginal septum and limit postoperative narrowing of the vagina.

• Authors: Lawrence C Layman, Paul G McDonough
• Journal: Fertility and sterility (Fertil Steril) Vol. 94 Issue 6 Pg. 2316-8 (Nov 2010) ISSN: 1556-5653 [Electronic] United States
• PMID: 20172517 (Publication Type: Journal Article)
• Copyright: Copyright © 2010. Published by Elsevier Inc.

Topics

• Anastomosis, Surgical (adverse effects, methods)
• Catheterization (adverse effects, instrumentation, methods)
• Female
• Gynecologic Surgical Procedures (adverse effects, instrumentation, methods)
• Hematocolpos (therapy)
• Humans
• Models, Biological
• Mucous Membrane
• Postoperative Complications (etiology)
• Vagina (abnormalities, surgery)