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Re: Surgery for transverse vaginal septum From: Bernard Cristalli (bcrist@club-internet.fr) Sat May 22 15:06:45 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Tim or Jude Kurokawa: "Re: Gown" Previous message: Calvin J. Siegers, MD FACOG: "Re: Home-made GOWNS" Maybe in reply to: Suman: "Surgery for transverse vaginal septum" You mean a horizontal septum. Don't do any dissection nor excision. Do a plain opening of the existing hiatus with 3 or 4 radial incisions and continuous sutures on the edges. Keep as much vaginal tissue you can. She will have to have sex as soon as possible (once you allow her) to avoid stenosis. That is the most effective vaginal mould. But I wonder wether this septum is the cause of the sterility. -- Suman a écrit: > I have a 24 year old patient with history of dysmenorrhea, scanty periods and > primary infertility whom I diagnosed as a case of a transverse vaginal septum > (about 6-7 mm thick ) with a central small opening. I have to operate on her day > after tomorrow. This will be my first such case and I have a senior coming over > to help out, but I would welcome practical hints which would be useful during > the procedure.Also, in your opinion, is a vaginal mould essential after the > surgery? How much should be the extent of circumferential dissection and > subsequent excision to prevent post op stenosis? > > Dr. Suman Bijlani > > MD,DGO,FCPS -- Bernard Cristalli MD CNGOF AMACOG AIHP - ACCA Paris - France http://www.obgyn.net/corresp/cristalli.htm http://www.cliniquedelessonne.fr/ Next message: Tim or Jude Kurokawa: "Re: Gown" Previous message: Calvin J. Siegers, MD FACOG: "Re: Home-made GOWNS" Maybe in reply to: Suman: "Surgery for transverse vaginal septum"

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