Sharma J B, Gupta Nupur, Mittal Suneeta
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.
Arch Gynecol Obstet. 2007 Apr;275(4):231-5. doi: 10.1007/s00404-006-0256-6. Epub 2006 Nov 21.
Our goal was to analyze the safety and efficacy of the use of oxidized cellulose in the creation of neovagina.
A total of 10 women with vaginal agenesis attending gynaecology clinic of AIIMS between July 2003 to March 2005 underwent vaginal reconstructive surgery using oxidized cellulose were recruited in this retrospective study. The age of patients ranged from 17 to 22 years (mean age 19 years). Using a transverse incision at introitus, a 10 x 4 cm space was created and a vaginal mould covered with oxidized cellulose was put in the neovagina.
The age ranged from 16 to 22 years (mean 19.5 years). Out of 10 patients, who had undergone vaginoplasty, all were sexually active; 8 had satisfactory intercourse, 1 chronic mild dyspareunia due to partial stenosis and 1 was lost to follow up. 2 out of 10 had inflammatory reaction and 1 had psychological problems.
Vaginal reconstruction using oxidized cellulose appears to be a safe and effective procedure with minimum complications, morbidity and discomfort with high success rates.
我们的目标是分析氧化纤维素在新阴道创建中的安全性和有效性。
本回顾性研究招募了2003年7月至2005年3月期间在全印医学科学研究所妇科门诊就诊的10例阴道发育不全女性，她们接受了使用氧化纤维素的阴道重建手术。患者年龄在17至22岁之间（平均年龄19岁）。在阴道口做一横切口，创建一个10×4厘米的空间，并将覆盖有氧化纤维素的阴道模具放入新阴道中。
年龄范围为16至22岁（平均19.5岁）。在10例行阴道成形术的患者中，所有患者均有性生活；8例性交满意，1例因部分狭窄出现慢性轻度性交困难，1例失访。10例中有2例出现炎症反应，1例有心理问题。
使用氧化纤维素进行阴道重建似乎是一种安全有效的手术，并发症、发病率和不适最小，成功率高。
