Tamaya T, Fujimoto J
Department of Obstetrics and Gynecology, Gifu University, School of Medicine, Japan.
Eur J Obstet Gynecol Reprod Biol. 1997 Mar;72(1):79-81. doi: 10.1016/s0301-2115(96)02665-6.
To compare the operative and sexual efficiencies of transabdominal-vulvar and transvulvar techniques for peritoneal vaginoplasty in patients with congenital absence of the vagina, we treated 36 patients by peritoneal vaginoplasty, originally described by Rothman, 31 with the transabdominal-vulvar technique and five with a new transvulvar technique. Both techniques equally gave the patients excellent sexual conditions. The mean blood loss was the mean duration of operation were 278 +/- 268 g and 1 degree 54' +/- 48' in the transabdominal-vulvar technique and 50 +/- 52 g and 58' +/- 11' in the transvulvar technique. The latter was significantly less than the former. Therefore, the transvulvar technique for peritoneal vaginoplasty in patients with congenital absence of the vagina was thought to be better than the transabdominal-vulvar technique.
为比较经腹-外阴和经外阴技术在先天性无阴道患者腹膜阴道成形术中的手术效率和性功能，我们采用腹膜阴道成形术（最初由罗斯曼描述）治疗了36例患者，其中31例采用经腹-外阴技术，5例采用新的经外阴技术。两种技术均使患者获得了良好的性功能。经腹-外阴技术的平均失血量和平均手术时长分别为278±268克和1小时54分±48分，经外阴技术分别为50±52克和58分±11分。后者明显少于前者。因此，先天性无阴道患者腹膜阴道成形术的经外阴技术被认为优于经腹-外阴技术。
