Double Pedicle Artery Rotation Sigmoid Vaginoplasty for Vaginal Aplasia Management

Adeodatus Yuda Handaya; Nurcahya Setyawan; Nuring Pangastuti; Marijata; Agus Barmawi; Imam Sofii; Muhamad Nurhadi Rahman; Ida Ayu Setyawati; Hamzah Muhammad Hafiq

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저자정보: Adeodatus Yuda Handaya (Universitas Gadjah Mada/Dr. Sardjito Hospital) Nurcahya Setyawan (Universitas Gadjah Mada/Dr. Sardjito Hospital) Nuring Pangastuti (Universitas Gadjah Mada/Dr. Sardjito Hospital) Marijata (Universitas Gadjah Mada/Dr. Sardjito Hospital) Agus Barmawi (Universitas Gadjah Mada/Dr. Sardjito Hospital) Imam Sofii (Universitas Gadjah Mada/Dr. Sardjito Hospital) Muhamad Nurhadi Rahman (Universitas Gadjah Mada/Dr. Sardjito Hospital) Ida Ayu Setyawati (Universitas Gadjah Mada/Dr. Sardjito Hospital) Hamzah Muhammad Hafiq (Universitas Gadjah Mada/Dr. Sardjito Hospital)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.36 No.3

발행연도: 2020.1

수록면: 198 - 203 (6page)

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Sigmoid vaginoplasty has been popular for neovagina reconstruction in vaginal aplasia. The most common surgical complication was vaginal stenosis caused by inadequate vascularization and tension because of graft length. Therefore, ischemia ensued and disrupted wound healing. The selection of double pedicle artery rotation sigmoid vaginoplasty is expected to reduce this problem. Five patients from April to December 2016 were diagnosed with vaginal aplasia; 4 had history of neovagina stenosis. These patients underwent sigmoid vaginoplasty with double pedicle artery rotation. No complications occurred during or after the procedure. Assessment postsurgery was conducted at 1 year. These results suggest that double pedicle artery rotation sigmoid vaginoplasty is a safe and acceptable technique for management of vaginal aplasia. The procedure decreased tension inside vascular pedicles as a result of maintaining abundant vascularization supply. Consequently, this procedure could avert graft necrosis, leakage, and severe stenosis. All of the patients exhibited regular menstrual cycle and satisfactory sexual activity. The outcomes were excellent with remarkable anatomical and functional results.

#Gynecologic surgical procedures #Disorders of sex development #Vaginal aplasia #Rotation #Wound healing

참고문헌 (16)

참고문헌 신청

American College of Obstetricians and Gynecologists / 2018 / Mullerian agenesis: diagnosis, management, and treatment / Obs Gynecol 131:35~42

Huguelet PS / 2015 / An atypical presentation of vaginal agenesis / J Pediatr Adolesc Gynecol 28:e123~6

Motta GL / 2016 / Vaginoplasty with full-thickness mesh skin graft for vaginal agenesis / Urology 98:200~203

Kimberley N / 2012 / Vaginal agenesis, the hymen, and associated anomalies / J Pediatr Adolesc Gynecol 25:54~58

Michala L / 2007 / Surgical approaches to treating vaginal agenesis / BJOG 114:1455~1459

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