Laparoscopically assisted full thickness skin graft for reconstruction in congenital agenesis of vagina and uterine cervix.
In patients with agenesis of the vagina and cervix but with a functional endometrium, the traditional treatment is hysterectomy with construction of a neovagina. We report successful treatment by laparoscopically assisted full thickness skin graft for reconstruction in a patient with congenital agenesis of the vagina and uterine cervix concomitant with haematometra and ovarian endometrioma in a 12 year old girl. Postoperatively, the vaginal skin graft healed well, and menstruation first appeared 4 weeks later. In our opinion, a combined laparoscopic and vaginal procedure with full thickness skin graft is an efficacious alternative in managing such genital defects.
Lee
C L
CL
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
Wang
C J
CJ
Liu
Y H
YH
Yen
C F
CF
Lai
Y L
YL
Soong
Y K
YK
D002584:Cervix Uteri / Q000002:abnormalities* / Q000601:surgery*; D002648:Child; D062109:Dermatologic Surgical Procedures; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D010535:Laparoscopy; D009095:Mullerian Ducts; D019651:Plastic Surgery Procedures; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*