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KMID : 0358419750180010071
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Korean Journal of Obstetrics and Gynecology
1975 Volume.18 No. 1 p.71 ~ p.75
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Creation of a Neovagina
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朴德守/Park, Duck Su
金賢皓/李康國/郭泰魯/Kim, Hyun Ho/Lee, Kang Kuk/Gwag, Tae Ro
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Abstract
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Vaginal aplasia or agenesis is not an uncommon as oinaly, yet the ingenuity of gynecologists and general and plastic surgeons has been tested repatedly in an attempt to devise the best means of correcting. this condition. Surgical correction for congenital absence of the vagina had its inception on 150 years ago. The ingenuity apent in the development of remedial measures represents an interesting facet of modern gynecology.
Since the first reported attempt by Dupuytren, in 1817, a variety of procedures have been suggested. These include use of intesstinal transplants, simple reconstruction, use of continuous pressure, flap-swinging operation, and use of free skin grafts. None has been universally accepted, and essentially all except the inlay of a free graft have been justly abandaned.
Prior to 1936, a number of attempts to use free graft, usually in small pieces, were reported, but the failure to maintain dilatation produced poor and results. Mclndoe first. recognized the fact that the contractile phase of a graft placed within a body cavity lasts for 3 to 6 months and that dilatation would be necessary to ensure success..:. But the Mclndoe vaginoplasty has superseded all others. This operation, in which a split-thickness Thiersch skin graft is used, has become the procedure of choice becauseof its simplicity, low mortality, and high degree of physiologic success.
Reconstruction of congenital_. absence of ´the vagina is not a large part of any practice, but when the´ opportunity for such operation occurs, it become: a challenge to -produce the best anatomic result in the most simply way possible. Agenesis of the vagin a pre Bents the gynecologist with the unique opportunity to create an artificial organ. If his eff
ects are successful, he may alter the cours of the patient´s life. Any girl who has a. congenital absence of part or all of the vagina should not be denied the benifits of,
modern surgery. Ideally, one would like to employ, the simplest and most satisfactory method to correct this anomaly.
One case performed artificial construction of congenitally absent vagina with a free
split-thickness skin graft, d_-scribed by Mcl doe, is pr?sented with successful anatomic result.
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