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学科主题: 临床医学
题名:
The use of peritoneal tissue mobilised with a novel laparoscopic technique to reconstruct a neovagina
作者: Ma, Yongguang1; Qin, Rongsheng1; Bi, Hongsen1; Yang, Xin1; Zhang, Jie1; Yuan, Jiong2; Li, Jianning1
关键词: Peritoneum ; Vagina ; Reconstruction ; Laparoscope
刊名: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
发表日期: 2009-03-01
DOI: 10.1016/j.bjps.2007.11.006
卷: 62, 期:3, 页:326-330
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Surgery
研究领域[WOS]: Surgery
关键词[WOS]: VAGINAL RECONSTRUCTION ; CONGENITAL ABSENCE ; VAGINOPLASTY ; CREATION
英文摘要:

The use of the peritoneum to construct the new lining of the vagina was described 40 years ago. However, the technique required open laparotomy and extensive dissection of the peritoneum and this technical difficulty and morbidities associated with the procedure reduced the acceptance of this technique. Subsequently, outcomes achievable from any neo-vaginoplastic techniques for a vaginal. deformity, regardless of the aetiology, have been problematic due to peritoneal, reflection at the pelvic floor, tack of ideal tissues to tine a neovagina, and cicatricial contracture. The advent of the endoscope renewed interest in using peritoneal. tissues in vaginal. reconstruction, and peritonea[ tissue mobilisation using forceps to grasp the tissue from below has been described. Here, we use a novel device to push a segment of mobilised peritoneum caudally into the vault. We have used this technique successfully in 12 individuals with congenital vaginal, agenesis. Under laparoscopic guidance and from the pelvic cavity, a novel instrument was used to push peritoneal, tissue down to the introitus, incised, and sutured to the margin of the skin and mucous membrane to form a new introitus. All the new peritoneal linings survived and the diameter, depth, and moisture of the neovaginas allowed for satisfactory sexual intercourse and did not produce unpleasant odour or excessive secretion. Advantages of this operative technique include its simplicity, the reduced possibility of severe complications in the abdominal cavity, the avoidance of severe morbidity in the perineal region, and the production of a functional, hygienic vagina. It is our preferred and recommended method to reconstruct the vagina. (C) 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

语种: 英语
WOS记录号: WOS:000264499300010
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/63574
Appears in Collections:北京大学第三临床医学院_成形外科_期刊论文

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作者单位: 1.Peking Univ, Dept Plast Surg, Hosp 3, Beijing 100083, Peoples R China
2.Peking Univ, Dept Gen Surg, Hosp 3, Beijing 100083, Peoples R China

Recommended Citation:
Ma, Yongguang,Qin, Rongsheng,Bi, Hongsen,et al. The use of peritoneal tissue mobilised with a novel laparoscopic technique to reconstruct a neovagina[J]. JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY,2009,62(3):326-330.
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