Johnson N, Lilford R J, Batchelor A
Department of Obstetrics & Gynaecology, St James's University Hospital, Leeds.
Br J Obstet Gynaecol. 1991 Feb;98(2):184-8. doi: 10.1111/j.1471-0528.1991.tb13366.x.
The ideal operation for a young woman born without a vagina would be a one stage procedure, creating a functionally normal vagina without cosmetically unattractive scars, without the need for subsequent dilatation, stents or obturators. This goal was achieved with a free flap vaginoplasty using a full thickness skin graft taken from the scapula region. The blood supply of the graft was maintained by microvascular anastomosis of the graft pedicles to vessels in the groin. The operation has been performed in three young women who were born with uterine hypoplasia and vaginal agenesis. We experienced no unexpected complications, the procedure was well tolerated and left our patients with a good length, fully functional vagina. However, the operation is a major undertaking and needs to be performed by those with expertise in plastic surgery as well as in gynaecology.
对于天生没有阴道的年轻女性来说，理想的手术应该是一期手术，打造出功能正常的阴道，且不会留下影响美观的疤痕，无需后续扩张、使用支撑物或闭塞器。通过使用取自肩胛区域的全厚皮片进行游离皮瓣阴道成形术实现了这一目标。通过将皮瓣蒂与腹股沟血管进行微血管吻合来维持皮瓣的血供。该手术已在三名患有子宫发育不全和阴道发育不全的年轻女性身上实施。我们未遇到意外并发症，该手术耐受性良好，为患者留下了长度适宜、功能完备的阴道。然而，该手术是一项重大任务，需要由具备整形外科学和妇科专业知识的人员来实施。
