Margolis T, Elkins T E, Seffah J, Oparo-Addo H S, Fort D
Emory University, Atlanta, Georgia.
Obstet Gynecol. 1994 Jul;84(1):148-52.
We performed a modified bulbocavernosus full-thickness pedicle graft procedure on four patients with large obstetric fistulas in Ghana, West Africa. The bulbocavernosus fat pad was harvested in the usual manner, and the full-thickness skin patch was taken from the medial thigh. All grafts showed 100% take by the tenth postoperative day. Adequate vaginal depth and caliber were obtained in all patients. Sexual function resumed in all patients except one, who suffered a recurrent vesicovaginal fistula. This method of vaginoplasty may be useful in patients who have massive vaginal-wall destruction of either gynecologic or obstetric origin.
我们对西非加纳的四名患有大型产科瘘管的患者实施了改良球海绵体全层带蒂移植手术。按常规方法采集球海绵体脂肪垫，并从大腿内侧获取全层皮肤补片。所有移植物在术后第10天均100%存活。所有患者均获得了足够的阴道深度和管径。除一名患者复发膀胱阴道瘘外，所有患者的性功能均得以恢复。这种阴道成形术方法可能对患有妇科或产科源性大面积阴道壁破坏的患者有用。
