Mingle Zhang1, Suolin Li2, Xianghua Huang3, Hui Du1, Chengshu Wang1, Lijuan Zhang1, Yanan Li1, Jingkun Zhang1, Zhenhai Wang1. 1. Department of Obstetrics and Gynecology, The Second Hospital of Hebei Medical University, No. 215 West Heping Road, Shijiazhuang, 050000, Hebei, China. 2. Department of Pediatric Surgery, The Second Hospital of Hebei Medical University, No. 215 West Heping Road, Shijiazhuang, 050000, Hebei, China. lisuolin@263.net. 3. Department of Obstetrics and Gynecology, The Second Hospital of Hebei Medical University, No. 215 West Heping Road, Shijiazhuang, 050000, Hebei, China. huangxh2003@163.com.
Abstract
OBJECTIVE: To validate the technical feasibility and anatomical and functional outcomes of transumbilical single-incision laparoscopic (SIL) sigmoid vaginoplasty hybrid transperineal approach in women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. METHODS: Twenty-five patients who underwent transumbilical SIL sigmoid vaginoplasty hybrid transperineal approach were retrospectively evaluated. Operation time and postoperative complications were analyzed. The length and breadth of the neovagina, lubrication and the Female Sexual Function Index were evaluated to assess the anatomical and functional outcomes of the surgery. RESULTS: All the cases were successfully performed without any intraoperative morbidity. The mean operative time and postoperative hospital stay were 162 ± 38 min and 11 ± 3 days, respectively. The postoperative complications included one case of a stress ulcer, one case of a neovaginal ulcer and two cases of umbilical incision infection. Sixteen women had regular intercourse and were satisfied with both the surgical outcome and subsequent sexual activity. CONCLUSION: Transumbilical SIL sigmoid vaginoplasty hybrid transperineal approach offers a feasible scarless method with cosmetic advantage for women with MRKH syndrome to establish new functional vagina.
OBJECTIVE: To validate the technical feasibility and anatomical and functional outcomes of transumbilical single-incision laparoscopic (SIL) sigmoid vaginoplasty hybrid transperineal approach in women with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. METHODS: Twenty-five patients who underwent transumbilical SIL sigmoid vaginoplasty hybrid transperineal approach were retrospectively evaluated. Operation time and postoperative complications were analyzed. The length and breadth of the neovagina, lubrication and the Female Sexual Function Index were evaluated to assess the anatomical and functional outcomes of the surgery. RESULTS: All the cases were successfully performed without any intraoperative morbidity. The mean operative time and postoperative hospital stay were 162 ± 38 min and 11 ± 3 days, respectively. The postoperative complications included one case of a stress ulcer, one case of a neovaginal ulcer and two cases of umbilical incision infection. Sixteen women had regular intercourse and were satisfied with both the surgical outcome and subsequent sexual activity. CONCLUSION:Transumbilical SIL sigmoid vaginoplasty hybrid transperineal approach offers a feasible scarless method with cosmetic advantage for women with MRKH syndrome to establish new functional vagina.
Authors: Lih-Mei Liao; Gerard S Conway; Ida Ismail-Pratt; Maligaye Bikoo; Sarah M Creighton Journal: Am J Obstet Gynecol Date: 2011-03-16 Impact factor: 8.661