title: Small intestinal submucosa patch for extensive vaginal endometriosis resection.
abstract: This case report describes use of a porcine small intestinal submucosa patch to prevent vaginal stiffness and retraction after extensive vaginal resection of an endometriosis nodule. A 32-year-old nulliparous woman was referred for surgical treatment of a large rectovaginal nodule that extended from the vaginal to the rectal mucosa. Surgical treatment was performed in 2 steps. Initially, a laparoscopic rectal resection was performed without opening the vagina to reduce the risk of fistula formation; 6 months later, the patient underwent a laparoscopic second-look combined with the vaginal approach to remove remaining disease. A small intestinal submucosa patch was successfully used to prevent vaginal shortening.
authors.affiliation: Department of Obstetrics and Gynecology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil. nucelio@gmail.com
authors.forename: Nucélio Luiz de Barros Moreira
authors.initials: NL
authors.lastname: Lemos
authors.forename: Gil
authors.initials: G
authors.lastname: Kamergorodsky
authors.forename: Ana Luiza Antunes
authors.initials: AL
authors.lastname: Faria
authors.forename: Paulo Augusto Ayroza Galvão
authors.initials: PA
authors.lastname: Ribeiro
authors.forename: Antonio Pedro Flores
authors.initials: AP
authors.lastname: Auge
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Aoki
mesh_terms: D000328:Adult; D000818:Animals; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007413:Intestinal Mucosa / Q000637:transplantation*; D007421:Intestine, Small / Q000637:transplantation; D034421:Sus scrofa; D054457:Tissue Scaffolds; D014183:Transplantation, Heterologous; D016042:Transplantation, Heterotopic / Q000379:methods*; D014623:Vaginal Diseases / Q000601:surgery*