[Evaluation of the long-term results of the surgical treatment in patient with vaginal aplasia in the presence of functioning uterus].
Results of surgical treatment of 28 adolescent girls with vaginal aplasia and functioning uterus are analyzed. The uterus had to be removed in all the patients 1.5 to 6 months after abdominal colpopoiesis with preservation of functioning uterus; after sigmoidal colpopoiesis the uterus was preserved in 85% of patients. Analysis of the contents of the uterine cavity showed endometritis, which was evidently caused by the absence of the cervix uteri, a natural barrier preventing the penetration of intestinal flora of neovaginal mucosa into the uterine cavity. The studies permitted a new interpretation of the results of abdominal and sigmoidal colpopoiesis with preservation of functioning uterus in adolescent girls with vaginal aplasia.
Bogdanova
E A
EA
Okulov
A B
AB
Martysh
N S
NS
Sarukhanov
A G
AG
Demidov
B S
BS
D000293:Adolescent; D005260:Female; D006801:Humans; D011184:Postoperative Period; D013514:Surgical Procedures, Operative / Q000379:methods; D013997:Time Factors; D016896:Treatment Outcome; D014599:Uterus / Q000503:physiopathology / Q000601:surgery*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*
Otsenka otdalennykh rezultatov operativenogo lecheniia bolńykh s aplazieĭ vlagalishcha pri funktsioniruiushcheĭ matke.