Annular incision was done using electrocautery on the hymen whilst sparing the intact hymenal tissue circumferentially at least 5 mm from the base. Clear descriptions of genital anatomy documented at wellchild visits may be critical to later interpretations of findings encountered during examinations for. It can also be broken by activity or the insertion of something into the vaginal canal. The hymen is a piece of skin covering the vaginal opening in females. Himen con escotaduras himen integro septado congenitas. Patients diagnosed with imperforate hymen and treated with annular hymenotomy between 2009 and 20 were included in this retrospective cohort study. An imperforate hymen can sometimes be diagnosed at birth. Estudio anatomico del himen y su repercusion en medicina legal. Annular hymen definition of annular hymen by the free. The hymen does not seem to have a specific physiological function. Imperforate hymen diagnosed beyond the newborn period may present a dilemma for the physician. Oct 16, 2016 himen semilunar orificio central puntos debiles 2, 5, 6, 10. Normal anatomy of vulva and variations in the hymenal appearance. The most common hymen in young women is shaped like a half moon.
Mar 22, 2018 download manualobstetriciaginecologia puc 2011. The annular hymen was described in 35% of slab cases, followed by coroliforme in 28 %. The annular incision is claimed to have the least effect on the hymen s architecture and thus appears to be the preferred choice among cultures and religions where a girls virginity is of great. It forms part of the vulva, or external genitalia, and is similar in structure to the vagina. Annular hymenotomy for imperforate hymen request pdf. Injuries resulting from sexual abuse are multiple and not unique one lesion type or location, but rather a set of them and the severity of which depends on the type of sexual assault.
Nov 09, 20 penanganan himen imperforata dengan hymenectomy harus dengan perlindungan antibiotika, darah tua kental kehitam hitaman keluar. It remains intact until it is broken by most often sexual intercourse. Penatalaksanaan himen imperforata dapat dibuat terbuka dengan hanya insisi berbentuk bintang pada posisi jam 2,4,8, dan 10. Request pdf annular hymenotomy for imperforate hymen aim. In about the 3 rd or 4 th month of pregnancy, the hymen in female fetuses begins to form. A membranous fold of tissue that partly or completely occludes the external vaginal orifice.
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