Sleiman Zaki, Ayed Amal, Christoforou Costas, Noventa Marco, Vitagliano Amerigo, Laganà Antonio Simone, Buzzaccarini Giovanni
Department of Obstetrics and Gynaecology, Lebanese American University, Beirut, Lebanon.
Department of Obstetrics and Gynaecology, Farwanya Hospital, MOH, Kuwait.
Prz Menopauzalny. 2022 Mar;21(1):64-68. doi: 10.5114/pm.2022.113556. Epub 2022 Feb 11.
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.
阴道入路仍然是治疗许多妇科疾病（如宫颈阴道肌瘤或阴道纵隔）最安全、最简单的外科手术之一。然而，这些传统手术会因处女膜完整性的破坏而受到阻碍，在某些保守地区（如中东地区），即使这一问题并非不利，也仍然存在争议。在此，我们描述3种替代的腹腔镜手术技术来解决处女膜保留的问题。在前2例病例中，我们建议通过前穹窿切开术或后穹窿切开术的腹腔镜入路来治疗大型宫颈阴道肌瘤。在第3例病例中，我们提出一种腹腔镜技术，用于切除一名患有梗阻性半阴道和同侧肾发育不全综合征的年轻女孩的阴道纵隔。
