Laparoscopic and gasless laparoscopic sigmoid colon vaginoplasty in women with vaginal agenesis

作     者：Zhong Chen-xi Wu Ji-xiang Liang Jie-xiong Wu Qing-hua 

作者机构：Capital Med Univ Beijing Anzhen Hosp Dept Vasc Surg Beijing 100029 Peoples R China Capital Med Univ Beijing Anzhen Hosp Dept Gen Surg Beijing 100029 Peoples R China 

出 版 物：《Chinese Medical Journal》 (中华医学杂志（英文版）)

年 卷 期：2012年第000卷第2期

页      面：203-208页

核心收录：

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：vaginal agenesis vaginoplasty gasless laparoscopy sigmoid colon 

摘      要：Background In the past several decades we have seen multiple advances in the reconstruction for girls born with vaginal *** study aimed to evaluate the technical feasibility,anatomical and functional outcomes of one-stage laparoscopic and gasless laparoscopic vaginoplasty with sigmoid colon for the patients of vaginal agenesis （Mayer-Rokitansky-Kuster-Hauser syndrome）.Methods We did a retrospective review of a total of 150 women with Mayer-Rokitansky-Kuster-Hauser syndrome treated at Beijing Anzhen Hospital,Capital Medical University from March 2006 to August *** patients were divided into the CO2 pneumoperitoneum laparoscopic group and the abdominal wall lift of gasless laparoscopic *** colon vaginoplasty approaches were performed in all of the *** surgical techniques,perioperative results,complications,anatomical and functional outcomes of vaginoplasty were *** All procedures were performed *** differences in the operative time and intraoperative blood loss existed in the laparoscopic vaginoplasty group compared with the gasless laparoscopic vaginoplasty *** patients who underwent sigmoid colon vaginoplasty had good cosmetic results without the problem of excessive mucus *** postoperative complications were *** a mean follow-up of 15.6 months,no stenosis or shrinkage was *** subjective sexual satisfaction rate with the surgical outcomes in all patients was 83.3%.Conclusions Laparoscopic or gasless laparoscopic vaginoplasty with sigmoid colon are effective and feasible approaches for women with congenital vaginal *** procedures have satisfactory anatomical and functional results.