Department of Obstetrics and Gynecology, Keelung Chang Gung Memorial Hospital, Keelung, Taiwan (Drs. CL Lee, Lin, Chen); Department of Obstetrics and Gynecology, Chang Gung University, Taoyuan, Taiwan (Drs. CL Lee, Lin, Chen).
Department of Minimally Invasive Surgery Unit, KK Women's and Children's Hospital, Singapore (Dr. JM Lee).
J Minim Invasive Gynecol. 2019 May-Jun;26(4):657-666. doi: 10.1016/j.jmig.2018.07.004. Epub 2018 Dec 20.
To study the outcome of a novel method of laparoscopic neovaginal reconstruction using rudimentary uterine horn serosa and the pelvic peritoneum as a graft.
Canadian Task Force classification II-1.
A university hospital.
A retrospective study of 14 patients from 2000 to 2014 of patients with vaginal agenesis who underwent laparoscopic neovagina reconstruction using rudimentary uterine horn serosa and the pelvic peritoneum as a graft.
Patients with vaginal agenesis associated with müllerian agenesis who requested surgery. Tertiary referral center and laparoscopic unit. The creation of a neovagina using rudimentary uterine horn serosa and the pelvic peritoneum as a graft via a combined laparoscopic and vaginal route.
Data were collected retrospectively including postoperative vaginal length and width, complications, stenosis or reoperations, dyspareunia, and sexual satisfaction. There were no major complications from the surgery with no rectal perforation or bladder or ureteric injury. The postoperative mean (±SD) vaginal length was 6.0±0.7 cm and a width of 2 fingerbreadths. The mean operation time was 142.7±45.9 min. Median blood loss was 100 ml (range: 10 to 300 mL). The mean duration of the hospital stay was 6.6±1.6 days. The follow-up period ranged from 3 to 84 months with a median follow-up of 11 months.
Lee's method of neovaginoplasty using rudimentary uterine horn serosa and the pelvic peritoneum as a graft is a good method for neovagina creation with minimal morbidity, fast recovery, and minimal complications. This method results in good anatomic and functional outcome and can be a method that is widely used.
研究使用原始子宫角浆膜和骨盆腹膜作为移植物进行腹腔镜阴道重建的新方法的结果。
加拿大任务组分类 II-1。
一家大学医院。
2000 年至 2014 年期间，14 名阴道发育不全患者的回顾性研究，这些患者接受了使用原始子宫角浆膜和骨盆腹膜作为移植物的腹腔镜阴道重建。
阴道发育不全伴米勒管发育不全并要求手术的患者。三级转诊中心和腹腔镜单位。通过联合腹腔镜和阴道途径，使用原始子宫角浆膜和骨盆腹膜作为移植物创建新阴道。
数据通过回顾性收集，包括术后阴道长度和宽度、并发症、狭窄或再次手术、性交困难和性满意度。手术无重大并发症，无直肠穿孔、膀胱或输尿管损伤。术后平均（±SD）阴道长度为 6.0±0.7cm，宽度为 2 指宽。平均手术时间为 142.7±45.9 分钟。中位出血量为 100ml（范围：10 至 300ml）。平均住院时间为 6.6±1.6 天。随访时间为 3 至 84 个月，中位随访时间为 11 个月。
Lee 采用原始子宫角浆膜和骨盆腹膜作为移植物的阴道成形术是一种创建新阴道的良好方法，具有最小的发病率、快速恢复和最小的并发症。这种方法可获得良好的解剖和功能结果，并且可以广泛应用。
