title: Combined laparoscopic and vaginal cervicovaginal reconstruction using split thickness skin graft in patients with congenital atresia of cervix.
abstract: OBJECTIVE
  The aim of this study was to introduce a new technique which is combined laparoscopic and vaginal cervicovaginal reconstruction using split thickness skin graft in patients with congenital atresia of cervix and to evaluate the feasibility and the safety of it.
  
  
  METHODS
  This is a prospective observational study of 10 patients with congenital atresia of cervix who underwent combined laparoscopic and vaginal cervicovaginal reconstruction using split thickness skin graft for cervicovaginal reconstruction from February 2013 to August 2014 in our hospital. All of the surgical procedures were carried out by the same operation team. Patient data were collected including operating time, estimated blood loss, hospital stay post-surgery, complications, total cost, and median vaginal length at 3 month, resumption of menstruation, vaginal stenosis and stricture of the cervix postoperatively.
  
  
  RESULTS
  The operative procedure lasted 237±46 (175-380) min. The estimated blood loss was 160±76 (50-300) ml. The hospital stay post-surgery was 12±2 (9-18) days. None of the patients had complications or required a blood transfusion. The mean total cost was $3352±1025. The average vaginal length at 3 month was 8.3±1.1 (8-10) cm. All patients had resumption of menstruation. The patients were followed for a mean of 5±2 (1-10) months. Cervical or vaginal stenosis did not occur in any of the patients.
  
  
  CONCLUSIONS
  Our experiences of combined laparoscopic and vaginal cervicovaginal reconstruction using split thickness skin graft in10 patients with congenital atresia of cervix were positive, with successful results and without complications, and cervical or vaginal stenosis.
authors: Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital, Fudan University 419 Fang Xie Road, Shanghai 200090, China.
authors: Xuyin
authors: X
authors: Zhang
authors: Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital, Fudan University 419 Fang Xie Road, Shanghai 200090, China.
authors: Tiantian
authors: T
authors: Han
authors: Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital, Fudan University 419 Fang Xie Road, Shanghai 200090, China.
authors: Jingxin
authors: J
authors: Ding
authors: Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital, Fudan University 419 Fang Xie Road, Shanghai 200090, China.
authors: Keqin
authors: K
authors: Hua
keywords: Split thickness skin graft; congenital atresia of cervix; laparoscopy