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Annals of Pediatric Surgery
Fig. 1 | Annals of Pediatric Surgery

Fig. 1

From: Hymen-saving hymenotomy of imperforate hymen in neonates and adolescents: tertiary medical center experience

Fig. 1

Hymen-saving central annular hymenotomy (HSCAH) in adolescent. A Imperforated hymen (IH) with Valsalva maneuver showing increased bulging of imperforate hymen membrane. B Magnetic resonance image (MRI) showing massive hematocolpos occupying the pelvic cavity. C Demarcation of central annular incision. D Completed primary central annular excision of the hymenal membrane then suturing of the inner vaginal mucosa to external vestibular mucosa

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