Section of Reproductive Endocrinology, Infertility, and Genetics, Department of Obstetrics and Gynecology, the Medical College of Georgia, Augusta, Georgia 30912-3360, USA.
Fertil Steril. 2010 Nov;94(6):2316-8. doi: 10.1016/j.fertnstert.2009.12.061. Epub 2010 Feb 20.
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.
Technique paper.
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.
最大程度地动员和提供扩张的阴道上部组织的黏膜以进行吻合，并避免术后阴道狭窄。
技术论文。
三级护理医疗中心。
因横隔阴道而出现血阴道积血的患者。
使用 Olbert 球囊导管牵拉近端扩张的阴道。
避免因缝合线回缩导致手术治疗横隔阴道伴血阴道积血时出现中阴道狭窄。
近端血阴道积血的高压球囊扩张可优化最终吻合时可用的阴道黏膜。
使用高压扩张球囊可实现高球内压，有助于横隔阴道的手术处理，并限制术后阴道狭窄。
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