Department of Plastic Surgery, Changhai Hospital, Naval Medical University, Shanghai, People's Republic of China.
Aesthet Surg J. 2020 Nov 19;40(12):NP694-NP702. doi: 10.1093/asj/sjaa147.
Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity.
The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in neovaginal reconstruction.
Sixteen patients with vaginal agenesis admitted to our department between January 2016 and January 2019 were included in our study. A reconstruction procedure, described in detail here, involving autologous buccal mucosa as graft material was successfully conducted in all of the patients. Long-term anatomic and functional outcomes were evaluated.
The blood loss during operation was estimated to be 15 to 20 mL in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10 to 14 days after the operation. All patients had a well-formed neovagina 8 to 10 cm in length, with a mean diameter of >3 finger-breadths.
The application of autologous buccal mucosa in neovaginal construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.
阴道发育不全是一种罕见的疾病，可通过各种外科技术来实现阴道重建。这些方法的主要区别在于覆盖新形成的腔的移植物材料。
本回顾性研究旨在描述自体颊黏膜移植在阴道重建中的手术步骤和结果。
纳入 2016 年 1 月至 2019 年 1 月在我科就诊的 16 例阴道发育不全患者，所有患者均采用我们详细描述的手术方法，使用自体颊黏膜作为移植物。评估长期的解剖和功能结果。
所有患者术中失血量估计为 15 至 20 毫升。无直肠或膀胱损伤发生。颊黏膜伤口在术后 10 至 14 天完全愈合。所有患者均形成长 8 至 10 厘米、平均直径> 3 指宽的良好新阴道。
自体颊黏膜在阴道重建中的应用是一种简单的方法。自体颊黏膜是阴道发育不全患者获得良好美容和功能效果的理想材料。
