Neovaginoplasty with tilapia fish skin: a series of eleven cases.

Autor: Torres ATS; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil., Lopes BB; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil., Silva AM; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil., Dias MTPM; Maternity School Assis Chateaubriand at Federal University of Ceará, Fortaleza, Brazil., Bruno ZV; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil.; Maternity School Assis Chateaubriand at Federal University of Ceará, Fortaleza, Brazil., Nunes APN; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil., Junior EML; Burn Treatment Center, Instituto Dr. José Frota, Fortaleza, Brazil., de Moraes Filho MO; Drug Research and Development Center at Federal University of Ceará, Fortaleza, Brazil., Paier CRK; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil., Rodrigues FAR; Ceará Federal Institute of Education, Science and Technology, Campus Jaguaribe, Fortaleza, Brazil., Bezerra LRPS; Federal University of Ceará, Avenida Desembargador Moreira, 2120 Equatorial Trade Center-Sala 404-Aldeota, Fortaleza, CE, Brazil. leonardobezerragineco@gmail.com.; Maternity School Assis Chateaubriand at Federal University of Ceará, Fortaleza, Brazil. leonardobezerragineco@gmail.com.
Jazyk: angličtina
Zdroj: International urogynecology journal [Int Urogynecol J] 2022 Aug; Vol. 33 (8), pp. 2185-2193. Date of Electronic Publication: 2022 Mar 21.
DOI: 10.1007/s00192-022-05150-4
Abstrakt: Introduction and Hypothesis: Mayer-Rokitansky-Küster-Hauser syndrome affects about 1 in 5000 live female births and is associated with gonadal dysgenesis and primary amenorrhea. Neovaginoplasty has been established as an appropriate treatment option for patients who have failed or denied dilation therapy. In search of accessible, economical material with low risk of complications, the team proposed the use of Nile tilapia fish skin (NTFS) as an innovative biomaterial in the neovaginoplasty procedure for vaginal agenesis management. NTFS has noninfectious microbiota, morphologic structure comparable to human skin and high in vivo bioresorption.
Methods: In this descriptive study, the method offered an anatomical and functional neovagina to 11 patients efficiently, quickly and safely. Correct post-surgical dilation is still extremely important to keep the neovagina's size > 6 cm.
Results: Histological and immunohistochemical analysis demonstrated the formation of a stratified squamous epithelium with strong marking for cytokeratins, FGF and EGFR, similar to healthy adult vaginal tissue.
Conclusions: Since NTFS is a low cost and easily accessible biomaterial, this technique proves to be an inexpensive therapeutic possibility for the health system with excellent advantages for patients.
(© 2022. The International Urogynecological Association.)
Databáze: MEDLINE
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