PMID: 12755509May 21, 2003Paper

Vaginal construction with skin grafts and vacuum-assisted closure

Scandinavian Journal of Plastic and Reconstructive Surgery and Hand Surgery
Håkan Hallberg, Hans Holmström

Abstract

Probably the most common method of constructing a vagina in patients with the Mayer-Rokitansky-Küster syndrome is the technique popularised by McIndoe and Banister in 1938. A cavity is created between the rectum and urethra-bladder complex and is lined with split-thickness skin grafts. One of the disadvantages of using split-thickness skin grafts is the incidence of late contraction of the neovagina. To avoid this problem full-thickness skin grafts have been used, but their take is less reliable. A new technique to improve the take of skin grafts is the VAC-system (vacuum assisted closure, KCI) which has proved to be particularly valuable in grafting difficult anatomical sites. We have used the VAC-system in the construction of a vagina in one case with split-thickness skin grafts and in two cases with full-thickness skin grafts. In all three cases the take was excellent with little discomfort for the patients. It was not necessary to stent the neovagina in the postoperative period and coitus was possible within a month of operation.

Citations

Jun 21, 2005·Der Urologe. Ausg. A·H SperlingH Rübben
Mar 5, 2008·Archives of Gynecology and Obstetrics·M BekereciogluD Isik
Apr 7, 2010·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Ahmad Al FadhliJames Roy Kanjoor
Feb 8, 2005·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K V LambertM McCarthy
Dec 31, 2016·Tissue Engineering. Part B, Reviews·Che-Ying KuoJohn P Fisher
Jun 27, 2006·Plastic and Reconstructive Surgery·Louis C ArgentaLisa R David
Apr 21, 2021·Reproductive Sciences·Sivanandane SittadjodyJames J Yoo

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