title: [The surgical treatment of severely injured vagina].
abstract: OBJECTIVE
  To investigate the surgical methods of treating severely injured vagina.
  
  
  METHODS
  A retrospective study was carried out on the clinical materials and results of 7 patients suffered from severe vaginal injury.
  
  
  RESULTS
  Different surgical approaches such as trans-suprapubic, transperineal or both approaches were applied according to the position of the atresia, meanwhile, different surgical methods such as skin graft, free flap transplantation, vaginal mucous flap advancement, direct anastomosis of the two ends, "Z" plasty was used to repair the vagina according to the different defect of the vagina, except for 1 case complicated with vaginorectus fistula, all the other cases were achieved satisfactory results.
  
  
  CONCLUSIONS
  The accurate judgment of the severity of the vaginal injury and the understanding of the changed anatomy around the injured vagina was the key points to the success of the surgical treatment of traumatic vaginal atresia.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Shanghai 9th People's Hospital, Shanghai 200011, China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Liu
authors.forename: Guo-xiong
authors.initials: GX
authors.lastname: Shen
authors.forename: Kai-xiang
authors.initials: KX
authors.lastname: Cheng
mesh_terms: D005260:Female; D006175:Gynatresia / Q000209:etiology / Q000601:surgery*; D006801:Humans; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D014621:Vagina / Q000293:injuries* / Q000601:surgery