Swenson Carolyn W, DeLancey John O, Schimpf Megan O
Department of Obstetrics & Gynecology, University of Michigan, L4000 Women's Hospital, 1500 E. Medical Center Dr., SPC 5276, Ann Arbor, MI, 48109-5276, USA,
Int Urogynecol J. 2014 Nov;25(11):1593-5. doi: 10.1007/s00192-014-2415-9. Epub 2014 May 16.
Numerous techniques for surgical creation of a neovagina have been described for treating Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. Sigmoid vaginoplasty is one well-described technique with satisfactory long-term outcomes. However, there are several case reports of subsequent prolapse of the sigmoid neovagina, which presents a unique challenge for surgical repair, as the associated mesentery can also be involved and is at risk during repair. We present a patient with MRKH syndrome and recurrent sigmoid neovagina prolapse who had undergone four prior attempts at repair. In all prior attempts, recurrence of her prolapse occurred within 3 months of the antecedent surgery. We describe the first report and successful long-term treatment of recurrent sigmoid neovagina prolapse using a left-sided sacrospinous ligament suspension.
治疗 Mayer-Rokitansky-Kuster-Hauser（MRKH）综合征的手术创建新阴道的技术有很多种。乙状结肠阴道成形术是一种描述详细且长期效果良好的技术。然而，有几例关于乙状结肠新阴道随后脱垂的病例报告，这给手术修复带来了独特的挑战，因为相关的肠系膜也可能受累且在修复过程中存在风险。我们报告了一名患有 MRKH 综合征且乙状结肠新阴道反复脱垂的患者，她之前已经接受过四次修复尝试。在之前的所有尝试中，脱垂在前次手术后 3 个月内复发。我们描述了首例使用左侧骶棘韧带悬吊术成功长期治疗乙状结肠新阴道反复脱垂的报告。
