Purushothaman V
Apollo's National Institute for Reconstructive Hand Surgery, Micro Surgery and Plastic Surgery, Apollo First Med Hospital, 154, P.H. Road, Chennai 600 010, India.
Br J Plast Surg. 2005 Oct;58(7):934-9. doi: 10.1016/j.bjps.2005.04.013.
Reconstruction of the vagina has always been a formidable surgical challenge. A variety of procedures with varying degrees of success have been described, but none has proved to be the ideal method. We have done 15 vaginal reconstructions using labia minora flaps. In the first eight patients, we used two labia minora flaps and sutured them together to create a neovagina. In the last eight patients this new technique of vaginoplasty using horse shoe labia minora flap was used. The neovagina is dilated gradually for a period of 3 months and at the end of 3 months the patient has an adequate sized vagina. All were done for vaginal agenesis. Horse shoe flap vaginoplasty in Mayer, Rokitansky-Kuster-Hauser syndrome is a new technique. The entire hairless skin within the labia majora is used to create a neovagina. Both the labia minora along with the prepucial skin of the clitoris is elevated as a single flap thereby increasing the dimension of the Neovagina and also augmenting the blood supply of the flap, making it more reliable and finally the design simplifies the technique of suturing the neovaginal tube.
阴道重建一直是一项艰巨的外科挑战。已经描述了多种成功率各异的手术方法，但尚无一种被证明是理想的方法。我们使用小阴唇皮瓣进行了15例阴道重建手术。在前8例患者中，我们使用了两片小阴唇皮瓣并将它们缝合在一起以构建一个新阴道。在最后8例患者中，采用了这种使用马蹄形小阴唇皮瓣的阴道成形新技术。新阴道在3个月的时间里逐渐扩张，3个月末患者拥有尺寸合适的阴道。所有手术均针对先天性无阴道进行。在 Mayer-Rokitansky-Kuster-Hauser 综合征中采用马蹄形皮瓣阴道成形术是一种新技术。大阴唇内的整个无毛皮肤被用于构建新阴道。小阴唇连同阴蒂包皮皮肤作为一个单一皮瓣掀起，从而增加了新阴道的尺寸，也增加了皮瓣的血供，使其更可靠，最终该设计简化了新阴道管的缝合技术。
