Double Pedicle Artery Rotation Sigmoid Vaginoplasty for Vaginal Aplasia Management
| Autor: | Marijata, Muhamad Nurhadi Rahman, Imam Sofii, Adeodatus Yuda Handaya, Nuring Pangastuti, Hamzah Muhammad Hafiq, Nurcahya Setyawan, Agus Barmawi, Ida Ayu Setyawati |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
disorders of sex development vaginal aplasia 030232 urology & nephrology Ischemia Case Report wound healing RC799-869 gynecologic surgical procedures rotation 03 medical and health sciences 0302 clinical medicine Medicine Severe stenosis 030219 obstetrics & reproductive medicine Surgical complication Vaginal aplasia business.industry Gastroenterology Sigmoid function Diseases of the digestive system. Gastroenterology medicine.disease Surgery Stenosis medicine.anatomical_structure Vaginoplasty business Artery |
| Zdroj: | Annals of Coloproctology, Vol 36, Iss 3, Pp 198-203 (2020) Annals of Coloproctology |
| ISSN: | 2287-9722 2287-9714 |
| Popis: | Sigmoid vaginoplasty has been popular for neovagina reconstruction in vaginal aplasia. The most common surgical complication was vaginal stenosis caused by inadequate vascularization and tension because of graft length. Therefore, ischemia ensued and disrupted wound healing. The selection of double pedicle artery rotation sigmoid vaginoplasty is expected to reduce this problem. Five patients from April to December 2016 were diagnosed with vaginal aplasia; 4 had history of neovagina stenosis. These patients underwent sigmoid vaginoplasty with double pedicle artery rotation. No complications occurred during or after the procedure. Assessment postsurgery was conducted at 1 year. These results suggest that double pedicle artery rotation sigmoid vaginoplasty is a safe and acceptable technique for management of vaginal aplasia. The procedure decreased tension inside vascular pedicles as a result of maintaining abundant vascularization supply. Consequently, this procedure could avert graft necrosis, leakage, and severe stenosis. All of the patients exhibited regular menstrual cycle and satisfactory sexual activity. The outcomes were excellent with remarkable anatomical and functional results. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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