Ismail I S, Cutner A S, Creighton S M
Elizabeth Garrett Anderson & Obstetric Hospital, University College Hospitals, London, UK.
BJOG. 2006 Mar;113(3):340-3. doi: 10.1111/j.1471-0528.2005.00845.x.
Construction of a neovagina is the next step for women with an absent vagina who have failed vaginal dilator therapy. Traditional operative techniques such as skin grafting or intestinal substitution have major disadvantages including prolonged recovery time and significant scarring. Laparoscopic vaginoplasty is performed widely throughout Europe but has not been available in the UK until now. We report on five women who underwent laparoscopic vaginoplasty. Three women underwent a laparoscopic Vecchietti procedure and two underwent a laparoscopic Davydov procedure. Details were recorded on preoperative features, perioperative problems and early postoperative outcome. Laparoscopic vaginoplasty is a safe treatment for vaginal agenesis, and short-term results are encouraging.
对于阴道缺失且阴道扩张器治疗失败的女性，构建新阴道是下一步治疗方案。传统手术技术如皮肤移植或肠道替代存在诸多主要缺点，包括恢复时间长和明显瘢痕形成。腹腔镜阴道成形术在欧洲广泛开展，但直到现在英国都未开展。我们报告了5例接受腹腔镜阴道成形术的女性。3例女性接受了腹腔镜Vecchietti手术，2例接受了腹腔镜Davydov手术。记录了术前特征、围手术期问题及术后早期结果。腹腔镜阴道成形术是治疗阴道发育不全的一种安全方法，短期效果令人鼓舞。
