کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3951378 1254861 2014 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Novel technique of neovagina creation with uterine serosa in the treatment of vaginal agenesis associated with mullerian agenesis
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Novel technique of neovagina creation with uterine serosa in the treatment of vaginal agenesis associated with mullerian agenesis
چکیده انگلیسی

ObjectiveOur aim was to create a neovagina with the least surgical morbidity and the best functional outcome.Materials and methodsWe hereby describe a new technique (Lee's neovaginoplasty) using a combined laparoscopic and vaginal approach in the creation of a neovagina using the uterine serosa layer from the rudimentary uterus and the peritoneum as a graft to line the vagina. This procedure was performed in three patients who were followed-up for a duration of 4 months to 2 years. Vaginal dilation was maintained with a vaginal mold daily for 3 months and three to four times a week thereafter.ResultsAdequate vaginal length of 6-7 cm and width of 2.5 cm was achieved postoperatively. There were no surgical complications and postoperative recovery was fast. Vaginal examination 1 month later showed healthy vaginal tissue with no necrosis or infection. Long-term follow-up did not show any shortening or stenosis of the vagina. Patients were able to have satisfactory sexual intercourse with no pain.ConclusionThe laparoscopic-vaginal approach of using a uterine serosa and peritoneal graft for creation of a neovagina is a simple and effective approach with minimal surgical morbidity that can create a passageway for satisfactory intercourse.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gynecology and Minimally Invasive Therapy - Volume 3, Issue 2, May 2014, Pages 50–53
نویسندگان
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