Clinical Performance of Single-incision Laparoscopic Sigmoid Colon Vaginoplasty in Women with Congenital Absence of Vagina
10.12007/j.issn.0258-4646.2016.05.022
- VernacularTitle:单孔腹腔镜乙状结肠代阴道成形术治疗先天性无阴道的临床效果分析
- Author:
Lili YIN
;
Qing YANG
;
Guangwei WANG
- Publication Type:Journal Article
- Keywords:
congenital absence of vagina;
single-incision laparoscopy;
sigmoid colon;
vaginoplasty
- From:
Journal of China Medical University
2016;45(5):467-469,472
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the feasibility of single?incision laparoscopic sigmoid colon vaginoplasty in women with congenital absence of va?gina. Methods Clinical data of thirty?two patients with congenital absence of vagina admitted in Shengjing Hospital of China Medical University be?tween January 2008 and June 2014 was retrospectively analyzed. Nineteen patients underwent laparoscopic assisted sigmoid colon vaginoplasty,and thirteen paitiens underwent single?incision laparoscopic sigmoid colon vaginoplasty. The operation time,intraoperative blood loss,evacuation time and follow up were compared between the two groups. Results In the group of single?incision laparoscopic sigmoid colon vaginoplasty,the opera?tion time was shorter and intraoperative blood loss was less. There was no difference between two groups in evacuation time. There was no infection or leakage of anastomotic stoma of sigmoid colon,and no postoperative stenosis of the neovagina and its length was satisfied. Patients were satisfied with the quality of sexual life after the surgery. Patients underwent single?incision laparoscopic sigmoid colon vaginoplasty were all satisfied with the ap?pearance of abdomen. Conclusion The single?incision laparoscopic sigmoid colon vaginoplasty can simplify the procedure of intestinal anastomo?sis,shorten the operation time,and reduce the intraoperative blood loss. Consequently,the single?incision laparoscopic sigmoid colon vaginoplasty is effective and safe.
