Surgery for Congenital Absence of the Vagina: Results and Complications of 108 Consecutive Patients

Autor:	Tekin Durukan, Halime Kaya, Ruşen Kapucu, Z. Selçuk Tuncer, Ali Ayhan, Hüsnü A. Kişnişçi
Rok vydání:	1994
Předmět:	Testicular feminization medicine.medical_specialty business.industry Obstetrics and Gynecology Granulation tissue medicine.disease Surgery medicine.anatomical_structure Vaginal disease Rectovaginal fistula Agenesis medicine Vagina Vaginoplasty business Complication
Zdroj:	Journal of Gynecologic Surgery. 10:169-172
ISSN:	1557-7724 1042-4067
Popis:	This study includes 108 patients with vaginal agenesis subjected to surgical vaginoplasty. The indication for vaginoplasty was Mayer-Rokitansky-Kuster-Hauser syndrome in 94 (87.0%), testicular feminization in 12 (11.1%), and hermaphroditism in 2 (1.9%) patients. The surgical procedures employed were Wharton in 53 patients (49.0%), Mclndoe in 47 (43.5%), gracilis myocutaneous flap in 3 (2.8%), sigmoid loop vaginoplasty in 2 (1.9%), and vaginoplasty using amnion in 3 (2.8%) patients. The overall anatomic success rate after vaginoplasty was 75.0% (81/108). This figure varies from 78.7% for patients subjected to the Mclndoe procedure to 71.6% for patients having Wharton vaginoplasty. Rectovaginal fistula was observed in only 3 patients (2.7%). The other leading complications were febrile morbidity in 13 (12.0%), infected hematoma in the neovagina in 2 (1.8%), and localized infection in 8 (7.4%) patients. Granulation tissue was observed in the neovagina in 12 patients. Wharton and Mclndoe operations r...
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::4e4b9b46fbbcc3af0c357374c346e19c https://doi.org/10.1089/gyn.1994.10.169 Zobrazit plný text záznamu