Sauer-Ramírez R, Carranza-Lira S, Romo-Aguirre C, Morán-Villota C, Santos-González J
Hospital de Ginecología y Obstetricia Luis Castelazo Ayala Instituto Mexicano del Seguro Social, México, D.F.
Ginecol Obstet Mex. 1995 Mar;63:112-4.
Many conditions have an abnormal development of the vagina, which impair satisfactory sexual activity. Non-surgical and surgical procedures have been developed to correct this situation, the Abbe-Wharton-McIndoe operation is one with the best results, but it has the disadvantage that the scar produced in the place where the skin graft is taken has an awful appearance. Although the oxidized regenerated cellulose (ORC) has been extensively used in pelvic surgery to avoid or diminish the adhesion formation, no other uses have been described for this material; we decided to use ORC instead of skin graft at the moment of the Abbe-Wharton-McIndoe procedure, in order to achieve rapid epithelization of the recently created cavity and avoiding skin graft taken. This is the report of four cases with Rokitansky syndrome in which a vagina was created using the McIndoe procedure and ORC was used instead of skin graft. At 12 weeks after surgery a complete epithelization of the new open cavity was achieved with the presence of mature vaginal epithelium. The conclusion is that ORC is an alternative instead of skin graft, with the advantage of avoiding the skin graft taken as well as the scar obligatorily produced with that procedure, and also achieving a complete and quick epithelization of the new cavity.
许多病症都存在阴道发育异常的情况，这会影响满意的性行为。人们已经开发出非手术和手术方法来纠正这种状况，阿贝 - 沃顿 - 麦金杜手术是效果最佳的方法之一，但它有一个缺点，即取皮部位产生的疤痕外观难看。尽管氧化再生纤维素（ORC）已广泛用于盆腔手术以避免或减少粘连形成，但尚未有关于该材料其他用途的描述；我们决定在阿贝 - 沃顿 - 麦金杜手术时使用ORC代替皮肤移植，以实现新形成腔隙的快速上皮化并避免取皮。这是一篇关于四例罗基坦斯基综合征病例的报告，其中采用麦金杜手术创建阴道并使用ORC代替皮肤移植。术后12周，新开放腔隙实现了完全上皮化，出现了成熟的阴道上皮。结论是，ORC是皮肤移植的一种替代方法，其优点是避免了取皮以及该手术必然产生的疤痕，还能实现新腔隙的完全快速上皮化。
