Boztosun Abdullah, Olgan Safak
From the Department of Obstetrics and Gynecology, School of Medicine, Akdeniz University, Antalya, Turkey.
Female Pelvic Med Reconstr Surg. 2016 Sep-Oct;22(5):e32-5. doi: 10.1097/SPV.0000000000000294.
Sigmoid vaginoplasty has carved a niche for itself in reconstructive genitoplasty. We describe the successful use of a robotically assisted sigmoid vaginoplasty in an adolescent girl with Mayer-Rokitansky-Kuster-Hauser syndrome.
An 18-year-old girl was referred to our hospital with the complaint of primary amenorrhea. She was thoroughly evaluated and magnetic resonance imaging was done, which revealed absence of a vagina and uterus but bilateral normal ovaries. Because cytogenetic analysis was "normal 46,XX" karyotype, Mayer-Rokitansky-Kuster-Hauser syndrome was diagnosed. She was successfully managed by the use of robot-isolated sigmoid colon segment for vaginal replacement and robot-sewn colon-colon anastomosis. A follow-up was done at the 3rd and 6th months, which revealed a large capacious vagina even without self-dilatation.
The robotic approach is feasible and can produce satisfying postoperative outcomes and might be a minimally invasive technique in future vaginoplasty surgery.
乙状结肠阴道成形术在重建性生殖器成形术中已占据一席之地。我们描述了在一名患有 Mayer-Rokitansky-Kuster-Hauser 综合征的青春期女孩中成功使用机器人辅助乙状结肠阴道成形术的情况。
一名 18 岁女孩因原发性闭经前来我院就诊。对她进行了全面评估并进行了磁共振成像检查，结果显示阴道和子宫缺如，但双侧卵巢正常。由于细胞遗传学分析显示核型为“正常 46,XX”，故诊断为 Mayer-Rokitansky-Kuster-Hauser 综合征。通过使用机器人分离的乙状结肠段进行阴道置换和机器人缝合结肠-结肠吻合术，她得到了成功治疗。在第 3 个月和第 6 个月进行了随访，结果显示即使没有自我扩张，阴道也宽敞。
机器人手术方法是可行的，并且可以产生令人满意的术后效果，可能会成为未来阴道成形术的一种微创技术。
