Belloli G, Campobasso P, Musi L
Department of Pediatric Surgery, Regional Hospital, I-36100 Vicenza, Italy
Pediatr Surg Int. 1997 Mar 21;12(2/3):168-71.
In severe vaginal malformations, when the distance between the upper vaginal pouch and perineum is too long (6 cm or more), reconstruction of the vagina can be performed by colonic interposition or by long cutaneous flaps obtained by the tissue expansion technique. Two female adolescents were treated using expanded labial skin flaps. Dissection and anastomosis between the vaginal remnant and cutaneous tube was performed by the transtrigonal approach. Results were satisfactory at 2.5-year follow-up. In our opinion, expanded labial skin-flap vaginoplasty has three main advantages: (1) it permits the construction of a large, soft, well-vascularized neovagina using non-hair-bearing labial skin; (2) it obviates postoperative dilations and prevents delayed strictures; and (3) a transtrigonal approach permits an easy vaginal dissection and a careful, tension-free anastomosis.
在严重的阴道畸形中，当上段阴道囊袋与会阴之间的距离过长（6厘米或更长）时，可通过结肠置入或采用组织扩张技术获得的长皮瓣来进行阴道重建。两名女性青少年接受了扩张阴唇皮瓣治疗。采用经三角途径进行阴道残端与皮管之间的解剖和吻合。2.5年的随访结果令人满意。我们认为，扩张阴唇皮瓣阴道成形术有三个主要优点：（1）它允许使用无毛的阴唇皮肤构建一个大的、柔软的、血供良好的新阴道；（2）它避免了术后扩张并防止延迟性狭窄；（3）经三角途径便于进行阴道解剖和仔细的、无张力的吻合。
