Laparoscopy in surgical treatment of vaginal aplasia: laparoscopy-assisted colpopoiesis and perineal hysterectomy with colpopoiesis.

L V Adamian, Z R Zurabiani, S I Kiselev, A Z Khashukoeva
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Abstract

Objective: To optimize methods of surgery in patients with malformations of the genitalia.

Methods: Comparative evaluation of effectiveness of reconstructive plastic operations for malformations of uterus and vagina, performed by conventional methods or via laparoscopy.

Results: Laparoscopy permits identification of the pelvic peritoneum plus opening it and using the most mobile portion to create the vaginal fornix. In patients with vaginal and cervical aplasia and non-communicating functional rudimentary uterus, laparoscopy assists hysterectomy performed by the vaginal approach, as well as the last step of colpopoiesis.

Conclusions: Laparoscopy significantly facilitates the procedure, reduces operating time and risks, and makes the operation available to the wide range of surgeons skilled in laparoscopy.

腹腔镜在阴道发育不全手术中的应用:腹腔镜辅助阴道成形术与会阴子宫切除术合并阴道成形术。
目的:探讨生殖器畸形的手术治疗方法。方法:比较评价常规方法和腹腔镜下子宫阴道畸形再造术的疗效。结果:腹腔镜可以识别骨盆腹膜并打开它并使用最可移动的部分来创建阴道穹窿。对于阴道和宫颈发育不全、功能不相通的初生子宫患者,腹腔镜辅助阴道入路子宫切除术,以及阴道成形术的最后一步。结论:腹腔镜手术明显简化了手术过程,降低了手术时间和风险,使手术更广泛地适用于熟练掌握腹腔镜技术的外科医生。
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