Small intestinal submucosa patch for extensive vaginal endometriosis resection.
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.
Lemos
Nucélio Luiz de Barros Moreira
NL
Department of Obstetrics and Gynecology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Brazil. nucelio@gmail.com
Kamergorodsky
Gil
G
Faria
Ana Luiza Antunes
AL
Ribeiro
Paulo Augusto Ayroza Galvão
PA
Auge
Antonio Pedro Flores
AP
Aoki
Tsutomu
T
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*