Opening the Anterior Vaginal Vault: A Novel Approach to Vaginoplasty with a Modified McIndoe Procedure Using an Artificial Dermis
| Autor: | Yasuhiko Kamada, Mikiya Nakatsuka, Miwa Matsuda, Kazuhiro Tabuchi, Ai Sakamoto, Keiko Shimizu, Yuji Hiramatsu |
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| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty 46 XX Disorders of Sex Development Adolescent Vaginal reconstruction Urinary Bladder Uterus Surgically-Created Structures Congenital Abnormalities Young Adult Asian People Dermis medicine Humans Rudimentary uterus Mullerian Ducts business.industry Obstetrics and Gynecology General Medicine Plastic Surgery Procedures Surgery medicine.anatomical_structure Vaginal canal Vagina Pediatrics Perinatology and Child Health Vaginoplasty Female Laparoscopy Vaginal vault Vaginal agenesis business |
| Zdroj: | Journal of Pediatric and Adolescent Gynecology. 28:e119-e122 |
| ISSN: | 1083-3188 |
| Popis: | Background Although preparation of a potential vaginal space between the bladder and rectum is a pivotal step in various vaginal reconstructions for patients with vaginal agenesis, few papers have mentioned the importance of this procedure. Case We report the successful creation of a neovagina in 3 Japanese patients with Mayer-Rokitansky-Kuster-Hauser syndrome using a novel modified McIndoe procedure that involved separation between the bladder and the rudimentary uterus in a laparoscopically assisted manner. Summary and Conclusion Opening “the anterior vaginal vault” between the bladder and uterus is a novel concept of vaginal reconstruction; this approach has not been described hitherto in the literature. Based on the outcome of our cases, we conclude that this procedure is advantageous in creating a large and soft neovagina. |
| Databáze: | OpenAIRE |
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