Management of transverse vaginal septum using the Olbert balloon catheter to mobilize the proximal vaginal mucosa and facilitate low anastomosis

• Published in: Fertility and sterility Vol. 94; no. 6; pp. 2316 - 2318
• Main Authors: Layman, Lawrence C., M.D, McDonough, Paul G., M.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.11.2010; Elsevier
• Subjects: Anastomosis, Surgical - adverse effects; Anastomosis, Surgical - methods; Biological and medical sciences; Catheterization - adverse effects; Catheterization - instrumentation; Catheterization - methods; Distention balloons; Female; Female genital diseases; Gynecologic Surgical Procedures - adverse effects; Gynecologic Surgical Procedures - instrumentation; Gynecologic Surgical Procedures - methods; Gynecology. Andrology. Obstetrics; hematocolpos; Hematocolpos - therapy; Humans; Internal Medicine; Medical sciences; Models, Biological; Mucous Membrane; Non tumoral diseases; Obstetrics and Gynecology; Postoperative Complications - etiology; transverse vaginal septum; Vagina - abnormalities; Vagina - surgery; transverse vaginal septum; Distention balloons; hematocolpos; Gynecology; Mucosa; Anastomosis; Catheter; Septum; Vagina; Vaginal diseases; Congenital disease; Obstetrics; Female genital diseases; Clinical management; Treatment; Malformation; Sounding balloon; Hematocolpos
• ISSN: 0015-0282; 1556-5653
• DOI: 10.1016/j.fertnstert.2009.12.061

Objective 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. Design Technique paper. Setting 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.