四例 Mayer-Rokitansky-Küster-Hauser 综合征患者采用改良腹膜下拉技术的新型腹腔镜阴道成形术。
New Laparoscopic Vaginoplasty Procedure With a Modified Peritoneal Pull-Down Technique in Four Patients With Mayer-Rokitansky-Küster-Hauser Syndrome.
机构信息
Department of Obstetrics and Gynecology, Federation of National Public Service Personnel Mutual Aid Associations, Tachikawa Hospital, Tokyo, Japan; Department of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Department of Obstetrics and Gynecology, Inagi Municipal Hospital, Tokyo, Japan.
出版信息
J Pediatr Adolesc Gynecol. 2021 Aug;34(4):569-572. doi: 10.1016/j.jpag.2021.02.099. Epub 2021 Feb 16.
BACKGROUND
Various vaginal reconstructive procedures have been described for patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. We describe the success of a novel laparoscopic vaginoplasty procedure using an anteroposterior peritoneal pull-down technique.
CASE
Four patients with MRKH syndrome underwent a modified laparoscopic Davydov procedure using an anteroposterior peritoneal pull-down technique with a transverse laparoscopic incision below the strand. Anatomical success was achieved in all patients, allowing easy introduction of 2 fingers, an epithelialized neovagina, and a mean length of 8.0 cm (range 7.0-9.0cm). All 3 patients who attempted sexual intercourse were successful, and neovagina size was adequately maintained at the long-term follow-up in the remaining patient.
SUMMARY AND CONCLUSION
This novel procedure presents as a feasible and an effective approach for vaginal reconstruction in patients with MRKH syndrome.
背景
针对 Mayer-Rokitansky-Küster-Hauser（MRKH）综合征患者，已有多种阴道重建术式被描述。我们描述了一种使用前后腹膜下拉技术的新型腹腔镜阴道成形术的成功经验。
病例
4 例 MRKH 综合征患者接受了改良腹腔镜 Davydov 手术，采用前后腹膜下拉技术，在索带下方做横向腹腔镜切口。所有患者均获得解剖学成功，可轻松插入 2 根手指，阴道上皮化，平均长度为 8.0cm（范围 7.0-9.0cm）。所有尝试过性行为的 3 例患者均成功，在其余患者的长期随访中，阴道大小得到充分维持。
总结和结论
这种新方法为 MRKH 综合征患者的阴道重建提供了一种可行且有效的方法。
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