Guenier C, Badr-el-Din A, Pector J C, Gerard A
Service de Chirurgie, Institut Jules Bordet, ULB, Bruxelles.
Acta Chir Belg. 1988 Mar-Apr;88(2):86-8.
Advantage of vaginoplasty in perineum healing following abdominoperineal amputation of the rectum. Healing of the perineal wound following abdominoperineal amputation of the rectum is achieved by secondary intention within 6 to 12 weeks. To improve the tedious dressings and to minimise the duration of healing, resorting to primary healing of the perineum in the females is facilitated by a technique of vaginoplasty. Our observations through personal experience dealing with 24 patients matched those described by Johnston in 1969 and 1979. Perineal healing was obtained within 10-14 days. The vaginal floor epithelialization was obtained after a median duration of 32.7 days. No important complications were noticed in relation to this technique.
阴道成形术在直肠癌腹会阴切除术后会阴愈合中的优势。直肠癌腹会阴切除术后会阴伤口通过二期愈合在6至12周内实现愈合。为改善繁琐的换药并缩短愈合时间，女性会阴的一期愈合可通过阴道成形术来促进。我们通过处理24例患者的个人经验所观察到的情况与约翰斯顿在1969年和1979年所描述的相符。会阴在10至14天内实现愈合。阴道底上皮化的中位时间为32.7天。未发现与该技术相关的重要并发症。
