Doktor axborotnomasi 2022, №2.1 (103)
Maqola mavzusi
SURGICAL TREATMENT OF MUCOCOLPOS BY PRESERVING THE HYMENAL RING (179-182)
Mualliflar
B. B. Negmadjanov, F. I. Zokirov, E. Kh. Shopulatov
Muassasa
Samarkand state medical university, Samarkand, Uzbekistan
Annotatsiya
Imperforate hymen is a rare common congenital anomaly of the female genital tract, in which the hymen completely closes the entrance to the vagina. Despite the fact that the diagnosis of this pathology is not difficult, often when examining a newborn by a neonatologist immediately after childbirth, this pathology remains undiagnosed. In the neonatal period, under the influence of maternal estrogen, the glands of the newborn‘s vagina secrete mucus, due to the accumulation of which in imperforate hymen mucocolpos develops. The latter causes a pronounced pain syndrome, up to ischuria. This article highlights the method of surgical treatment of mucocolpos with the preservation of the hymenal ring in 21 girls aged 4.5 months to 2.4 years. With this method, there is no need to approximate mucosal margins to prevent reclosure of hymenal orifice which potentially preserves the integrity of the hymenal ring.
Kalit so'zlar
hymen, imperforate hymen, mucocolpos, hymenal ring.
Adabiyotlar
1. Acar A, Balci O, Karatayli R, Capar M, Colakoglu M. The treatment of 65 women with imperforate hymen by a central incision and application of Foley catheter. BJOG 2007;114:1376–1379. 2. Gynecologic Examination for Adolescents in the Pediatric Office Setting Paula K. Braverman, Lesley Breech and The Committee on Adolescence. Pediatrics 2010;126;583. DOI: 10.1542/peds.2010-1564. 3. Hewitt G. Examining pediatric and adolescent gynecology patients. J Pediatr Adolesc Gynecol. Aug 2003;16(4):257-8. [Medline]. 4. Imperforate Hymen. Paula J Adams Hillard, 2016. https://emedicine.medscape.com/article/269050-overview#a8 5. John AR. Surgical conditions of the vagina and the urethra. In: Thompson JD, Rock JA, editors. Te Linde‘s Opera-tive Gynecology, 7th edn. Philadelphia, PA: Lippincott Company; 1992. pp. 1125–40. 6. Lee, G.H.; Lee, M.J.; Choi, Y.S.; Shin, J.I. Imperforate hymen causing hematocolpos and acute urinary retention in a 14-year-old adolescent. Child. Kidney Dis. 2015, 19, 180–183. 7. Letts M, Haasbeck J. Hematocolpos as a cause of back pain in premenarchal adolescents. J Pediatr Orthop 1990;10:731–2. 8. Mou, J.W.; Tang, P.M.; Chan, K.W.; Tam, Y.H.; Lee, K.H. Imperforate hymen: Cause of lower abdominal pain in teenage girls. Singap. Med. J. 2009, 50, 378–379. 9. Muram D. Pediatric and adolescent gynecology. In: Pernoll ML, editor. Current Obstetric and Gynecologic Diag-nosis and Treatment, 7th edn. East Norwalk, CT: Appleton and Lange; 1991. pp. 629–56. 10. Pediatric Imperforate Hymen, Amulya K Saxena and co. 2018. https://emedicine.medscape.com/article/954252-overview#showall 11. Te Linde's Operative Gynecology, 10th Edition. John A. Rock, Howard W. Jones. Lippincott Williams & Wilkins. 2008. 12. Temizkan O, Kabil Kucur S, Agar S, Gözu¨kara I, Akyol A, Davas I. Virginity sparing surgery for imperforate hymen: report of two cases and review of literature. J Turk Ger Gynecol Assoc 2012;13:278-280.