title: Laparoscopically assisted full thickness skin graft for reconstruction in congenital agenesis of vagina and uterine cervix.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan.
authors.forename: C L
authors.initials: CL
authors.lastname: Lee
authors.forename: C J
authors.initials: CJ
authors.lastname: Wang
authors.forename: Y H
authors.initials: YH
authors.lastname: Liu
authors.forename: C F
authors.initials: CF
authors.lastname: Yen
authors.forename: Y L
authors.initials: YL
authors.lastname: Lai
authors.forename: Y K
authors.initials: YK
authors.lastname: Soong
mesh_terms: 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*