Kılıççı Çetin, Şanverdi İlhan, Darıcı Ezgi, Özkaya Enis
University of Health Sciences Turkey, Zeynep Kamil Women and Children's Diseases Training and Research Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Turkey.
Turk J Obstet Gynecol. 2020 Sep;17(3):182-185. doi: 10.4274/tjod.galenos.2020.39112. Epub 2020 Oct 2.
Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all are surgically challenging, multistage, time-consuming or leave permanent scars on the abdomen or skin removal areas. The aim of this study was to introduce a simple and cheaper approach for laparoscopic vaginal bead-pull through.
In this retrospective study, we report a total of six patients with congenital absence of vagina [Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome] who were treated with a laparoscopic vaginal bead pull-through technique between 2018 till 2019 with a dental prosthesis material.
Six patients with MRKH syndrome were treated with a laparoscopic vaginal bead pull-through technique. None of the women had any previous treatment. The mean age at the time of surgery was 18.7±3.1 years and mean body mass index was 25 (range, 19-38) kg/m. None of the patients had any additional malformations. In all patients, normal external genitalia and complete vaginal agenesis were observed during examination. The mean duration of surgery was 72 (range, 55-95) minutes. All patients were discharged on the 3 postoperative day. No intraoperative complications were encountered. All patients had their urinary catheters removed within 12 hours after surgery. The mean vaginal length at discharge was 10 (range, 8-13) cm and all patients had adequate vaginal diameter, allowing introduction of three fingers easily. At the 12 postoperative month, the mean vaginal length was 9.2±1.6 cm. All patients had complete epithelization. All the women were sexually active one year after surgery.
The laparoscopic vaginal bead pull-through technique using dental prosthesis material can provide satisfactory results with shorter surgical time and lower cost.
针对阴道发育不全，已有多种重建性外科手术方法被描述。几乎所有方法都具有手术挑战性、多阶段、耗时，或者会在腹部或皮肤切除区域留下永久性疤痕。本研究的目的是介绍一种简单且成本较低的腹腔镜阴道珠子牵拉术方法。
在这项回顾性研究中，我们报告了总共6例先天性无阴道[迈耶-罗基坦斯基-库斯特-豪泽（MRKH）综合征]患者，她们在2018年至2019年期间采用牙科修复材料，通过腹腔镜阴道珠子牵拉术进行治疗。
6例MRKH综合征患者接受了腹腔镜阴道珠子牵拉术治疗。这些女性之前均未接受过任何治疗。手术时的平均年龄为18.7±3.1岁，平均体重指数为25（范围19 - 38）kg/m²。所有患者均无其他畸形。在所有患者的检查中，均观察到外生殖器正常且阴道完全闭锁。手术平均时长为72（范围55 - 95）分钟。所有患者均在术后第3天出院。术中未出现并发症。所有患者在术后12小时内拔除尿管。出院时阴道平均长度为10（范围8 - 13）cm，所有患者阴道直径足够，可轻松容纳三根手指。术后12个月时，阴道平均长度为9.2±1.6 cm。所有患者阴道均完全上皮化。所有女性在术后一年均有性生活。
使用牙科修复材料的腹腔镜阴道珠子牵拉术可提供满意的效果，手术时间更短且成本更低。
