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A STUDY ON CONGENITAL VAGINAL MALFORMATIONS IN RURAL POPULATION OF NORTH MAHARASHTRA REGION

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DOI: 
10.5958/j.2319-5886.2.3.113
Abstract (2. Language): 
Objective: To find out types of vaginal malformations in rural population of North Maharashtra, to study various operative procedures designed for vaginal malformations and to evaluate the use of rubber mould for McIndoe operation. Method: Eighteen cases of congenital vaginal malformations were screened in OPD. We found seventeen patients of primary amenorrhea were having congenital vaginal malformation. One patient of stricture of upper vagina was having normal menstruation. They were investigated according to the standard protocol. After clinical examination patients were investigated by U.S.G. and I.V.P. sos and diagnostic laparoscopy, the investigations for operation were Hb, Urine (Alb. Sug. Microscopy), BSL (R), BUL, Serum creatine. Then all of them were operated between Jan.1985 to Oct. 2002 under general anaesthesia & the analysis was done. The type of operations done were 1) Mcindoe operation 2) Pull through operation 3) Excision of imperforate hymen. Results: Twelve cases of Rokitansky-Kuster-Hauster Syndrome were operated by McIndoe technique. None of the patients developed V.V.F. or R.V.F. The average vaginal length was 8.76 cms.; Four cases of imperforate hymen had undergone excision & Two cases of congenital stricture in upper vagina had undergone pull through operation Conclusions: Use of foam rubber mold is without any pressure necrosis of bladder or rectum.
FULL TEXT (PDF): 
334-340

REFERENCES

References: 

1. Norman Jeffcoate, Pratap Kumar, Narendra
Malhotra. Jeffcoate’s Principles of
gynecology. Jaypee Publishers. 7th edition,
Page no 196,211
2. Hendren Wh, Donahoe PK. Correction of
congenital abnormalities of the vagina and
perineum, J Peadiatr Surg. 1980;15(6):751-
63
3. Richard F, Mattingly Te. Linde’s operative
Gynecology, Lippincott International Edition.
5th Edition, Page No.453.
4. Norman Jeffcoate. Principles of Gynaecology
4th edition Page No.132, 135.
5. Bryan AL, Nigro JA, Counseller VS. One
hundred cases of congenital absence of the
vagina. Surg Gynecol Obstet. 1949; 88(1):79-
86.
6. Kuster, Leduc B, Campenhout J.Van, sinard
R.Mayer-Rokitansky-Küster-Hauser(MRKH)
syndrome. Am. J.Obstet, Gynec.1968;
100:512
7. Ulfelder H. Agenesis of the vagina. A
discussion of surgical management and
functional and morphologic comparison of
end results, with and without skingrafting.
Am J Obstet Gynecol. 1968 ;100(6):745-51.
8. Counseller VS, Davis CE. Atresia of the
vagina. Obstet Gynecol. 1968; 32(4):528-36.
9. Garcia J, Jones HW Jr. The split thickness
graft technic for vaginal agenesis. Obstet
Gynecol. 1977; 49(3):328-32.
10. Counseller VS, Flor FS. Congenital absence
of the vagina; further results of treatment and
a new technique. Surg Clin North Am. 1957;
37(4):1107-18.
11. Dupuytren, Linde R.W. Operative
Gynecology, Ed. 5th, Philadelphia, 1977, J.B.
Lippincott company, page 454.
12. McIndoe A, Baniste JB. Autotransfusion-
Construction-of-Vagina. J. Obstet. Gynec.
Brit. Emp.1938; 45:490
13. Thompson JD, Wharton LR, TE Linde RW.
Congenital absence of the vagina; ananalysis
of thirty-two cases corrected by the McIndoe
operation. Am J ObstetGynecol. 1957;
74(2):397-404.
14. Evans. Linde’s operative Gynecology,
Lippincott International Edition. 1967. 5th
edition Pg;461.

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