Laparoscopic Vaginal Reconstruction Using a Sigmoid Colon Segment: A Preliminary Report

Urbanowicz, Wiesław; Starzyk, Jerzy; Sulisławski, Janusz

doi:10.1097/01.ju.0000111342.92168.42

Cited by 48 publications

(39 citation statements)

References 12 publications

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“…Average operative time was 184 min (160-210). Average hospital stay was 11 days (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: Resultsmentioning

confidence: 99%

“…Also, the procedure was performed in male to female transsexuals as reported by Kim et al who stated that the sigmoid neovagina is the best choice for those patients with favourable anatomic and functional results [12]. Laparoscopic approaches for sigmoid vaginal reconstruction were tried with promising results, however, it needs extensive experience in gynecological and gastrointestinal laparoscopic surgery [13][14][15].…”

Section: Discussionmentioning

confidence: 99%

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Vaginal reconstruction with sigmoid colon in vaginal agenesis

et al. 2007

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This study was conducted to evaluate the anatomical and functional results of sigmoid colon vaginoplasty. From June 2000 to June 2005, 26 patients with congenital vaginal agenesis were evaluated and treated with sigmoid colon reconstruction at Ain Shams University Maternity Hospital as a primary procedure in 17 patients and a secondary procedure in 9 patients after previous failed Abbe-McIndoe vaginoplasty elsewhere. The anatomical results were good in 22 patients, while 3 patients suffered from introital stenosis. Two of them were treated successfully by dilatation while one required Z-plasty. Eight patients were lost to follow-up and only ten patients are currently sexually active as the rest were divorced or remained unmarried. Of the sexually active patients, 8 (80%) had satisfactory intercourse whereas 2 (20%) complained of dyspareunia. Sigmoid colon vaginoplasty has satisfactory long-term anatomical and functional results and should be considered as primary option for the treatment of vaginal agenesis.

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“…Average operative time was 184 min (160-210). Average hospital stay was 11 days (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22).…”

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Vaginal reconstruction with sigmoid colon in vaginal agenesis

et al. 2007

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“…The procedure is major and is usually performed via a laparotomy although has been reported laparoscopically. 8 It remains an operation with significant morbidity as it involves resection and anastomosis of bowel. The rectovaginal space is dissected, while a loop of either colon or ileum is resected and fed through to the perineum with its vascular pedicle maintained.…”

Section: Intestinal Vaginoplastymentioning

confidence: 99%

“…Despite these potential problems, recent reports demonstrate satisfactory sexual function with up to 80% of women being sexually active postoperatively. 8 Intestinal vaginoplasty -whether open or laparoscopicremains a complex operation with increased morbidity and long-term adverse effects. In the recent literature -including this issue of the BJOG -there has been a surge of papers reporting intestinal vaginoplasty as first-line treatment for Rokitansky syndrome.…”

Section: Intestinal Vaginoplastymentioning

confidence: 99%

Surgical approaches to treating vaginal agenesis

Michala

Cutner

Creighton

2007

BJOG

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“…These include the use of the peritoneum [2,3], the amnion [4,5], allogenic epidermal sheets [6], Interceed [7,8], autologous buccal mucosa [9], bowel [10,11], and autologous in vitro cultured vaginal tissue [12]. There is a great variety of vaginal reconstruction techniques, which suggests there is no single superior surgical technique.…”

Section: Introductionmentioning

confidence: 99%

Vaginoplasty Using Acellular Porcine Small Intestinal Submucosa Graft in Two Patients with Meyer-von-Rokitansky-Küster-Hauser Syndrome: A Prospective New Technique for Vaginal Reconstruction

Ding

Zhang

Chen

et al. 2012

Gynecol Obstet Invest

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The objective of this case study is to present our experience of a surgical approach for vaginal agenesis using an acellular porcine small intestinal submucosa (SIS) graft. The present report involved 2 patients diagnosed as having vaginal agenesis due to Meyer-von-Rokitansky-Küster-Hauser syndrome. The operation procedure involved the creation of a neovaginal tunnel and then a mold wrapped with the SIS graft was placed in the neovagina. The duration of surgery was less than 45 min with minimal blood loss and no operative and postoperative complications. Epithelialization of the neovagina was achieved within 2 months after surgery. The neovagina created with this procedure was the same as that of a normal adult vagina histologically and physiologically. In conclusion, the creation of a neovagina using a SIS graft resulted in a favorable outcome and this approach may be a potential alternative to the management of vaginal agenesis.

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Laparoscopic Vaginal Reconstruction Using a Sigmoid Colon Segment: A Preliminary Report

Abstract: This preliminary report suggests that laparoscopic sigmoid vaginal replacement is feasible and safe, and may be used as an alternative to open surgery.

Cited by 48 publications

References 12 publications

Vaginal reconstruction with sigmoid colon in vaginal agenesis

Vaginal reconstruction with sigmoid colon in vaginal agenesis

Surgical approaches to treating vaginal agenesis

Vaginoplasty Using Acellular Porcine Small Intestinal Submucosa Graft in Two Patients with Meyer-von-Rokitansky-Küster-Hauser Syndrome: A Prospective New Technique for Vaginal Reconstruction

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