Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University, Goyang, Republic of Korea.
Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Republic of Korea.
J Pediatr Urol. 2017 Dec;13(6):621.e1-621.e6. doi: 10.1016/j.jpurol.2017.05.014. Epub 2017 Jun 16.
Appropriate postoperative care and prolonged use of the mold are prerequisites for achieving successful results in McIndoe-style vaginoplasty.
We introduce a specially designed pored polyacetal mold to maintain the reconstructed vagina, with favorable long-term results allowing drainage of the serous and bloody discharge without removal of the mold, and reduction of infection rate and the chance of skin graft shearing in McIndoe vaginoplasty.
We retrospectively reviewed data of 10 consecutive patients with Mayer-Rokitansky-Kuster-Hauser syndrome who underwent McIndoe vaginoplasty between March 2010 and January 2014. We used a specially designed pored polyacetal mold (Figure) in all reconstructed vaginal wounds. The anatomical surgical success was evaluated by physical examination and functional success, which was defined as satisfaction with sex evaluated by patient self-assessed questionnaire.
The follow-up period ranged from 1 to 3.5 years. The postoperative mean vaginal length was 9.5 cm in nine patients who used the mold regularly. In all cases in which a pored polyacetal mold was used, skin engraftment was successfully maintained without partial skin graft loss or infection. The subjective patient self-assessed satisfaction evaluation reported a high satisfaction rate.
The multi-holed polyacetal vaginal mold was designed to perform vaginal irrigation without removal of the mold, allowing drainage of the serous and bloody discharge. This makes it possible to reduce infection rate and maintain successful skin engraftment by reducing the chance of skin graft shearing. The characteristics of polyacetal make it useful as a vaginal mold material as it is lightweight to use, easy to manufacture in accordance with the dimensions of the neovaginal space, and cost-effective. Although a constant follow-up evaluation is required, the pored polyacetal mold is an attractive vaginal mold dressing material to maximize the initial graft uptake, and it can be individually tailored in patients undergoing McIndoe-style vaginoplasty.
The specially designed vaginal mold made up of pored polyacetal is a proper vaginal mold, which could maximize the initial graft uptake, decrease the risk of wound infection, and, therefore, decrease contracture of the neovagina in patients undergoing McIndoe vaginoplasty.
在 McIndoe 式阴道成形术中，适当的术后护理和模具的长时间使用是取得成功的先决条件。
我们介绍一种专门设计的多孔聚缩醛模具，用于维持重建的阴道，具有良好的长期效果，可以在不取出模具的情况下排出浆液性和血性分泌物，降低感染率和皮肤移植物剪切的几率，降低 McIndoe 阴道成形术的感染率。
我们回顾性分析了 2010 年 3 月至 2014 年 1 月期间接受 McIndoe 阴道成形术的 10 例 Mayer-Rokitansky-Kuster-Hauser 综合征连续患者的数据。我们在所有重建的阴道伤口中使用了一种专门设计的多孔聚缩醛模具（图）。解剖学手术成功通过体格检查和功能成功进行评估，功能成功定义为患者自我评估问卷评估的对性满意。
随访时间为 1 至 3.5 年。9 例常规使用模具的患者术后阴道平均长度为 9.5cm。在所有使用多孔聚缩醛模具的病例中，皮肤移植物均成功维持，无部分皮肤移植物丢失或感染。主观的患者自我评估满意度评估报告了高满意度。
多微孔聚缩醛阴道模具旨在进行阴道冲洗而无需取出模具，可排出浆液性和血性分泌物。这可以降低感染率，并通过减少皮肤移植物剪切的机会来维持成功的皮肤移植。聚缩醛的特性使其成为一种有用的阴道模具材料，因为它重量轻，易于根据新阴道空间的尺寸制造，并且具有成本效益。虽然需要进行持续的随访评估，但多孔聚缩醛模具是一种有吸引力的阴道模具敷料材料，可以最大限度地提高初始移植物吸收，并且可以根据 McIndoe 式阴道成形术患者的情况进行个性化定制。
由多孔聚缩醛制成的特殊设计的阴道模具是一种合适的阴道模具，可以最大限度地提高初始移植物吸收，降低伤口感染风险，从而减少 McIndoe 阴道成形术患者新阴道的挛缩。
