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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >A clinical study of modified McIndoe vaginoplasty with split thickness skin graft: a tertiary care experience
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A clinical study of modified McIndoe vaginoplasty with split thickness skin graft: a tertiary care experience

机译：分裂厚度皮肤移植术改性MCINDOE阴道成形术的临床研究：第三级护理体验

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Background: Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is associated with failure of fetal mullerian-duct development that results in congenital deficiency of the upper part of the vagina with a rudimentary-to-absent uterus. These patients have primary amenorrhoea, infertility as well as insufficient sexual gratification. Although conception can be dealt with IVF and surrogacy but at least by doing neovaginal construction by McIndoe vaginoplasty, these patients have acceptable sexual life and intercourse. The main objective of this study was creating a neovagina leading to a satisfactory sexual life. Methods: Modified McIndoe vaginoplasty with split thickness skin graft, was done in seven patients with MRKH syndrome from 2014-2017 and these patients were followed till 2019. All patients had detailed counselling regarding the surgery, the complications involved and the outcome. Thorough investigations were done in all the patients. Results: The functional results were satisfactory in all the seven patients. There was no blood transfusion requirement or any serious complication involved. An average vaginal length of 7-9 cm and vaginal width of 3-4 cm was achieved. Donor site healing was adequate in all patients with no complications. Conclusions: Modified McIndoe vaginoplasty, if performed with good surgical skills, is a secure and beneficial way to achieve sexual contentment in patient with vaginal agenesis, with no donor site complications.
机译：背景：Mayer-Rokitansky-Kuster-Hauser综合征（MRKH）与胎儿Mullerian-管道开发的失败有关，导致阴道上部的先天性缺乏缺陷的子宫。这些患者有主要的脑膜炎，不孕症以及性满足不足。虽然概念可以处理IVF和代孕，但至少通过Mcindoe阴道成形术做出新加坡建筑，这些患者有可接受的性生活和性交。本研究的主要目标是创造一个导致令人满意的性生活的新诺戈。方法：修饰厚度皮肤移植术改性的Mcindoe阴道成形术，在2014 - 2017年患有MRKH综合征的患者中进行，这些患者遵循2019年。所有患者对手术进行了详细的咨询，所涉及的并发症和结果。在所有患者中都进行了彻底的调查。结果：七名患者的功能结果令人满意。没有输血要求或涉及任何严重的并发症。实现平均阴道长度为7-9厘米，阴道宽度为3-4厘米。任何没有并发症的患者都足够了。结论：改性Mcindoe阴道成形术，如果用良好的手术技能进行，是一种安全而有益的方式，可以在阴道患者患者中实现性含量，没有供体现场并发症。

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