Title: Anterior Vaginal Wall Cyst
1Anterior Vaginal Wall Cyst Presented by Dr.
Narayan M. Patel M.D.,D.G.O. FICS Emeritus
Professor Muni. Medical college-
Ahnedabad. Postal address-- Mahalaxmi Institute
of medical teaching, 3, Shantiniketan park,
Naranpura, Nr.Sardar Patel Colony, AHMEDABAD-
380 014 (Gujarat) INDIA T.N.(079) 27682572,
Mobile- 98252 95530 E mail-narayanpatel1932_at_yaho
o.com
2This was the case of anterior vaginal wall cyst.
In picture no-1 this is seen as a bluish
discoloration projection, shown by an arrow.
Cervix is not seen in this picture.
1
Ant. vaginal wall cyst
On lifting up the cyst, you see in this 2nd
picture the cervix, as shown by an instrument and
also by arrow. Speculum is in position. This
slide clearly shows that cyst is in anterior
vaginal wall.
2
Ant. vaginal wall cyst
cervix
3The cyst is grasped by elisis forceps and pulled
on left side of the patient to defined its
base. Speculum is in position.
3
An incision is put on the wall of cyst, the deep
enough to reach up to the vaginal wall. A similar
incision was put on the other side, pulling the
cyst on rt. side of the patient
4
knife
Incision
4The cyst is being dissected on the left side of
the patient remaining in the cleavage.
The cyst is lifted up and dissected posteriorly
from cervix, trying to remain in cleavage.
cyst
5Dissection is further continued A retractor is
used to stretch the tissue to find out the lower
limit of the cyst
cyst
Last cut and cyst will be free
Cyst in surgeons hand
6Cyst just removed
Excess of vaginal wall was excised and sutures on
opposite side
Cyst photographed after removal
7Thank you