再生酸化セルロース膜(インターシード)を応用した低侵襲性造腟術(<特集>第56回日本産科婦人科学会シンポジウム4 : 安全性および確実性の向上を目指した婦人科手術の工夫)

概要

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We would like to present our experiences of a surgical innovative approach for vaginal agenesis using Interceed in order to achieve a satisfactory neovagina. The present study involved 14 subjects diagnosed to have vaginal agenesis of different origins. Operation involves the creation of a neovaginal tunnel then a mold wrapped with Interceed was placed in the neovagina. Duration of surgery was within 30 minutes with minimal blood loss. Postoperative hospital stay was only 2 days with no operative and postoperative complications. Epithelialization of neovagina was achieved around 2 months after surgery. All patients were satisfied with the outcome. The neovagina created using this procedure was not much different with the normal adult vagina histologically and physiologically. In conclusion, this surgical innovative method using Interceed with favorable results may be a potential alternative approach for the management of vaginal agenesis.
2004-12-01