Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen
Introduction: Over centuries, virginity has been given social, religious and moral importance. It is widely believed as a state of a female who has never engaged in sexual intercourse, and her hymen is intact. Hymenoplasty for torn hymen is carried out not only for the sake of cultural and religious...
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2015-05-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163060 |
| _version_ | 1819088491428970496 |
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| author | Hemant A. Saraiya |
| author_facet | Hemant A. Saraiya |
| author_sort | Hemant A. Saraiya |
| collection | DOAJ |
| description | Introduction: Over centuries, virginity has been given social, religious and moral importance. It is widely believed as a state of a female who has never engaged in sexual intercourse, and her hymen is intact. Hymenoplasty for torn hymen is carried out not only for the sake of cultural and religious traditions but also for the social status and interpersonal relationships. Materials and Methods: 2.5 cm long and 1 cm wide four vaginal mucosal flaps were raised from the anterior vaginal wall just behind labia minora. Two flaps were based proximally, and their two opposing flaps were based distally. These flaps were overlapped in a crisscross fashion and were sutured with 5/0 Polyglactin (Vicryl® ) sutures leaving no area raw. The donor area was closed primarily. When some remains of a torn hymen were found, one to three vaginal mucosal flaps were added to its remains as per the need for reconstruction. Results: We operated upon 11 patients. In nine cases, the hymen was reconstructed with four flaps. In remaining two, it was reconstructed from the remains using vaginal mucosal flaps. All flaps healed without any infection or disruption. Sutures got absorbed in 25-35 days. In all cases, this newly constructed barrier broke with only moderate pressure at the time of penetrative sex serving the purpose of the surgery completely. Conclusion: Erasing evidence of the sexual history simply by ‘Surgical Revirgination’ is extremely important to women contemplating marriage in cultures where a high value is placed on virginity. |
| first_indexed | 2024-12-21T21:52:53Z |
| format | Article |
| id | doaj.art-0c56686043d64638855c970e72ebdecf |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-21T21:52:53Z |
| publishDate | 2015-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-0c56686043d64638855c970e72ebdecf2022-12-21T18:49:03ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2015-05-01480219219510.4103/0970-0358.163060Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymenHemant A. Saraiya0Department of Plastic Surgery, Sushrut Plastic Surgery Research Center, Gujarat Cancer and Research Institute, Ahmedabad, Gujarat, IndiaIntroduction: Over centuries, virginity has been given social, religious and moral importance. It is widely believed as a state of a female who has never engaged in sexual intercourse, and her hymen is intact. Hymenoplasty for torn hymen is carried out not only for the sake of cultural and religious traditions but also for the social status and interpersonal relationships. Materials and Methods: 2.5 cm long and 1 cm wide four vaginal mucosal flaps were raised from the anterior vaginal wall just behind labia minora. Two flaps were based proximally, and their two opposing flaps were based distally. These flaps were overlapped in a crisscross fashion and were sutured with 5/0 Polyglactin (Vicryl® ) sutures leaving no area raw. The donor area was closed primarily. When some remains of a torn hymen were found, one to three vaginal mucosal flaps were added to its remains as per the need for reconstruction. Results: We operated upon 11 patients. In nine cases, the hymen was reconstructed with four flaps. In remaining two, it was reconstructed from the remains using vaginal mucosal flaps. All flaps healed without any infection or disruption. Sutures got absorbed in 25-35 days. In all cases, this newly constructed barrier broke with only moderate pressure at the time of penetrative sex serving the purpose of the surgery completely. Conclusion: Erasing evidence of the sexual history simply by ‘Surgical Revirgination’ is extremely important to women contemplating marriage in cultures where a high value is placed on virginity.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163060hymenhymenoplastyrevirginationvaginavaginal mucosal flapsvirginity |
| spellingShingle | Hemant A. Saraiya Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen Indian Journal of Plastic Surgery hymen hymenoplasty revirgination vagina vaginal mucosal flaps virginity |
| title | Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen |
| title_full | Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen |
| title_fullStr | Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen |
| title_full_unstemmed | Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen |
| title_short | Surgical revirgination: Four vaginal mucosal flaps for reconstruction of a hymen |
| title_sort | surgical revirgination four vaginal mucosal flaps for reconstruction of a hymen |
| topic | hymen hymenoplasty revirgination vagina vaginal mucosal flaps virginity |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.163060 |
| work_keys_str_mv | AT hemantasaraiya surgicalrevirginationfourvaginalmucosalflapsforreconstructionofahymen |