Singh Gurcharan, Sunita Venigalla
Department of Plastic Surgery, Sri Devraj Urs University, Kolar, India.
Fertil Steril. 2008 Nov;90(5):2016.e13-5. doi: 10.1016/j.fertnstert.2008.06.048. Epub 2008 Sep 30.
To report results of managing complex malformation of the genital tract and to validate a newer classification (vaginal, cervix, uterus, adnexa-associated malformation [VCUAM]) for describing such complex anomalies.
Case report.
University hospital.
PATIENT(S): A patient with complex genital malformation.
INTERVENTION(S): Laparotomy, double hysterectomy, and vaginal reconstruction with use of bilateral neurovascular pudendal thigh flaps. Use of VCUAM classification for description of the anatomy of malformation.
MAIN OUTCOME MEASURE(S): Creation of a neovagina and accurate and complete description of the anomaly.
RESULT(S): Relief of pelvic pain and creation of patent and sensate vagina retaining the innervations of the erogenous zones. The VCUAM classification could accurately depict complex anatomic variations.
CONCLUSION(S): Vaginal reconstruction with use of bilateral neurovascular pudendal thigh flaps yields good postoperative results. The VCUAM classification reflects anatomic variations in external and internal organs precisely.
报告复杂生殖道畸形的治疗结果，并验证一种用于描述此类复杂异常的新分类法（阴道、宫颈、子宫、附件相关畸形[VCUAM]）。
病例报告。
大学医院。
一名患有复杂生殖器畸形的患者。
剖腹术、双侧子宫切除术，以及使用双侧神经血管阴部大腿皮瓣进行阴道重建。使用VCUAM分类法描述畸形的解剖结构。
形成新阴道，以及对异常情况进行准确完整的描述。
盆腔疼痛缓解，形成了通畅且有感觉的阴道，保留了性敏感区的神经支配。VCUAM分类法能够准确描绘复杂的解剖变异。
使用双侧神经血管阴部大腿皮瓣进行阴道重建术后效果良好。VCUAM分类法能精确反映内外器官的解剖变异。
