[Study of operative procedures of laparoscopy and laparoscopically assisted sigmoid transplantation for vaginal construction].
OBJECTIVE
To explore the procedures and the clinical significance of laparoscopy and laparoscopically assisted sigmoid transplantation for vaginal construction.


METHODS
Nine cases were assigned randomly to laparoscopically assisted sigmoid colpopoiesis and laparoscopic sigmoid colon colpopoiesis. The procedure of laparoscopically assisted sigmoid colpopoiesis: with the auxiliary of laparoscopy, dissected the distal portion of the sigmoid with endoscopic linear cutter, then a 4-cm incision was made in the left lower abdomen to retract and dissect the proximal portion of sigmoid. After the proximal portion of transplant-sigmoid was closed, the proximal cut end of reserved-sigmoid was placed with the anvil and made a purse-string suture, then put back sigmoid into the peritoneal cavity. A curved intraluminal stapler was inserted from the anus to the most distal cut end of reserved-sigmoid to end-end anastomose the reserved-sigmoid. Finally, an artificial canal was made between urethravesicae and rectum and the transplant-sigmoid with the blood supply was placed into the artificial canal to create an artificial vagina. The procedure of laparoscopic sigmoid colpopoiesis was performed under laparoscopy thoroughly.


RESULTS
We have successfully completed the operations for 9 patients, and made 1 - 19 month following-up. The results of the artificial vaginae of all cases were satisfactory; the abdominal scar was small with remarkable cosmetic effects. Moreover, 5 cases had pleasant sexual intercourses.


CONCLUSIONS
The procedures of laparoscopy and laparoscopically assisted sigmoid transplantation for vaginal construction can replace the traditional laparotomy.
Ling
Bin
B
Department of Obstetrics and Gynecology, Anhui Provincial Hospital, Hefei 230001, China.
Sun
Min-wen
MW
Sun
Fang-lin
FL
Zhang
Ai-jun
AJ
Hu
Wei-ping
WP
Li
Jia
J
Huang
Qiang
Q
Ning
Zhong-liang
ZL
D000293:Adolescent; D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D017533:Marital Status; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D017792:Surgical Stapling / Q000295:instrumentation / Q000379:methods; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D014625:Vaginal Neoplasms / Q000601:surgery