Chen Z J, Chen M Y, Chen C, Wu N
Plastic Surgery Hospital, C.A.M.S., Beijing, China.
Plast Reconstr Surg. 1989 Jun;83(6):1005-12. doi: 10.1097/00006534-198906000-00013.
A new method of vaginal reconstruction is reported. In the procedure, the left inferior abdominal wall flap with the subcutaneous pedicle containing epigastric superficial blood vessels and/or the circumflex iliac superficial vessel and the external pudendal vessel and their branches is raised and passed through an immediate extraperitoneal tunnel to be the artificial vagina. The operation is straightforward, quick, and safe. Thirty consecutive patients suffering from congenital absence of vagina have been treated. All flaps in the group, which were less bulky, survived completely. The follow-up survey was carried out from 6 months to more than 4 years postoperatively. There was no occurrence of hernia after surgery. The reconstructed vaginas in all patients were clean, soft, elastic, and expansible. Married patients indicated satisfaction with their sexual life.
报道了一种阴道重建的新方法。在该手术中，掀起带有包含腹壁浅血管和/或旋髂浅血管、阴部外血管及其分支的皮下蒂的左下腹部皮瓣，并通过一个直接的腹膜外隧道作为人工阴道。该手术操作简单、快速且安全。连续治疗了30例先天性无阴道患者。该组所有皮瓣体积较小，全部存活。术后6个月至4年多进行了随访调查。术后无疝发生。所有患者重建的阴道清洁、柔软、有弹性且可扩张。已婚患者对其性生活表示满意。
