New laparoscopic peritoneal pull-through vaginoplasty technique
Autor: | Jyoti Mhatre, Pravin Mhatre, Rakhi Sahu |
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Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
mayer rokitansky kustner hauser
MRKH Syndrome Pregnancy medicine.medical_specialty primary amenorrhoea business.industry Scars Ovary Stratified squamous epithelium Absent vagina medicine.disease vaginoplasty peritoneal lcsh:Gynecology and obstetrics Surgery medicine.anatomical_structure Reproductive Medicine Vagina medicine Abdomen Vaginoplasty Original Article medicine.symptom business lcsh:RG1-991 |
Zdroj: | Journal of Human Reproductive Sciences Journal of Human Reproductive Sciences, Vol 7, Iss 3, Pp 181-186 (2014) |
ISSN: | 1998-4766 0974-1208 |
Popis: | Background: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all of them are surgically challenging, multi-staged, time consuming or leave permanent scars on abdomen or skin retrieval sites. Aim: A new simple technique using laparoscopic peritoneal pull-through in creation of neo vagina has been described. Material and Methods: Total of thirty six patients with congenital absence of vagina (MRKH syndrome) were treated with laparoscopic peritoneal pull through technique of Dr. Mhatre between 2003 till 2012. The author has described 3 different techniques of peritoneal vaginoplasty. Results: This technique has given excellent results over a period of one to seven years of follow-up. The peritoneal lining changes to stratified squamous epithelium resembling normal vagina and having acidic Ph. Conclusion: Apart from giving excellent normal vaginal function, as the ovary became accessible per vaginum three patients underwent ovum retrieval and pregnancy using surrogate mother, thus making this a fertility enhancing procedure. |
Databáze: | OpenAIRE |
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