Operations for anomalies of the development of female genital organs, intrauterine and cervical pathology

Surgery for vaginal abnormalities

Surgical treatment of the longitudinal partitions of the vagina consists in dissecting them, which is done in a planned manner or during childbirth. The need for such an operation occurs when the septum prevents normal sex life or the passage of the fetus through the vagina. Partitions may be continuous along the entire vagina (in such cases, they usually do not break the function of the vagina) or incomplete, often located in the lower sections of the vagina (in most cases, they are excised).

 

Performance technique. The vagina is revealed by side mirrors; its partition is exposed and stretched. The latter is cut with straight scissors along the entire length. Excess tissue, protruding in the form of ridges, excised. The edges of the wounds are sutured with separate or continuous seams in the circular direction. After the toilet of the vagina, a gauze napkin moistened with vaseline is inserted into it.

 

Transverse septa cause obstruction or narrowing of the vagina. With its complete obstruction, the same symptoms occur as with the fusion of the hymen with the formation of a hematocolpos, hematometers, etc.

Scars and stenoses of the vagina are formed due to inflammatory processes, as well as scarring of its ruptures.

Vaginal dysfunction with his scars and stenoses are rarely observed, and they are eliminated with the help of various dilators, colpeyrinter in combination with physiotherapeutic procedures. For severe stenosis and transverse septum of the vagina, surgical treatment is required.

 

Dissection of the vaginal septum in the lower portions is performed in the transverse direction, followed by connecting the upper and lower portions of the vagina using separate sutures. With the localization of the transverse septum of the vagina in the middle or higher sections or excision of extensive scars going into the depth of the tissues, during their dissection or removal there is a great danger of damage to adjacent organs (urethra, rectum). In such cases, to control their interaction with the vagina, a catheter, dilators, an introduction into the rectum of the surgeon’s finger are used.