使用 OASIS 移植的改良 Wharton-Sheares-George 阴道成形术：新阴道创建的门诊手术程序

IF 3.5 2区医学 Q1 OBSTETRICS & GYNECOLOGY

Journal of minimally invasive gynecology Pub Date : 2024-11-01 DOI:10.1016/j.jmig.2024.09.118

D Elborno , J Geynisman-Tan , S Muttar , E Yerkes , J Grabowski

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引用次数: 0

摘要

研究目的本视频旨在展示如何为寻求手术创建新阴道的Mayer-Rokitansky-Kuster-Hauser（MRKH）患者实施Wharton-Sheares-George阴道成形术，并使用粘膜下小肠（SIS）移植进行改良。我们的目的是强调这种方法对那些不想进行初次扩张或初次扩张效果不理想的患者的益处，并为寻求复制这种技术的外科医生提供一步步的说明。干预措施根据Wharton-Sheares-George法为MRKH综合征患者创建新阴道，并改用SIS移植物作为上皮支架.测量和主要结果讨论手术步骤并回顾解剖和功能结果.结论使用Wharton-Sheares-George法创建新阴道不需要采集移植物，也不需要住院进行长时间牵引。该手术效率高，短期和长期发病率低，是原发性扩张术的重要替代方法。根据我们对该技术的逐步描述，外科医生可以提供一种微创手术方案，在一周内达到功能和解剖效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Modified Wharton-Sheares-George Vaginoplasty With OASIS Graft: An Outpatient Surgical Procedure for Neovagina Creation

Study Objective

The objective of this video is to show how to perform a Wharton-Sheares-George vaginoplasty with a modification to use submucosal small intestine (SIS) graft for patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) seeking surgical creation of neovagina. We aim to highlight the benefits of this approach for patients who either do not want to pursue primary dilation or who achieve a suboptimal result with primary dilation and aim to provide a step-by-step description for surgeons seeking to replicate this technique.

Design

N/A.

Setting

Tertiary care children's hospital operating room.

Patients or Participants

Patients with MRKH undergoing surgical creation of neovagina who have consented to photography/video for educational purposes.

Interventions

The creation of a neovagina according to Wharton-Sheares-George in patients with MRKH syndrome with a modification to use SIS graft for epithelial scaffolding.

Measurements and Main Results

Discussion of the surgical steps and review of the anatomic and functional results.

Conclusion

The creation of a neovagina using the Wharton-Sheares-George method does not require harvesting grafts, nor does it require an inpatient stay for prolonged traction. The procedure is efficient and offers a valuable alternative to primary dilation with low short- and long-term morbidity. By following our step-by-step description of this technique, surgeons can offer a minimally invasive surgical option that achieves a functional and anatomically result within 1 week.

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来源期刊

Journal of minimally invasive gynecology 医学-妇产科学

CiteScore

5.00

自引率

7.30%

发文量

272

审稿时长

37 days

期刊介绍： The Journal of Minimally Invasive Gynecology, formerly titled The Journal of the American Association of Gynecologic Laparoscopists, is an international clinical forum for the exchange and dissemination of ideas, findings and techniques relevant to gynecologic endoscopy and other minimally invasive procedures. The Journal, which presents research, clinical opinions and case reports from the brightest minds in gynecologic surgery, is an authoritative source informing practicing physicians of the latest, cutting-edge developments occurring in this emerging field.