The Surgical Treatment of Labial Adhesions in Pre-pubertal Girls
| Autor: | Murali K. Ankem, Kimberly M Eickhorst, Michael J Nurzia, Joseph G. Barone |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Time Factors Administration Topical Population Tissue Adhesions Labial fusion Anesthesia General Ointments Refractory Suture (anatomy) Recurrence medicine Humans Labial adhesions Surgical treatment education Retrospective Studies education.field_of_study Genitourinary system business.industry Obstetrics and Gynecology Estrogens Retrospective cohort study General Medicine medicine.disease Surgery stomatognathic diseases Child Preschool Pediatrics Perinatology and Child Health Female Vulvar Diseases business Follow-Up Studies |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 16:21-23 |
| ISSN: | 1083-3188 |
| DOI: | 10.1016/s1083-3188(02)00208-5 |
| Popis: | Study Objective: A review of our experience with the surgical treatment of labial adhesions refractory to medical treatment. Design: Retrospective review. Setting: University tertiary care hospital same-day surgery center. Participants: Nine prepubertal females, age 3–6 yrs, presenting with thick, symptomatic labial adhesions refractory to medical management. Intervention: All patients underwent surgical lysis of labial adhesions under general anesthesia. Adhesions were incised sharply and the cut edges were reapproximated with 7-0 chromic suture by a pediatric urologist (JGB). Main Outcome Measures: Duration of recurrence-free follow-up. Results: No patient had recurrence in an average of 8.6 months of follow-up. Surgery was well tolerated in all cases. Conclusion: This technique effectively treats and prevents the recurrence of moderate to severe labial adhesions that are unresponsive to medical therapy. |
| Databáze: | OpenAIRE |
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