Total laparoscopic sigmoid vaginoplasty: a novel therapeutic approach. Issue 1 (27th April 2020)

• Record Type: Journal Article
• Authors: Wang, Junjiang; Wei, Gengzhou; Yi, Zhiyong; Liu, Mubiao; Wu, Wulin; Hu, Weixian; Zheng, Jiabin; Yao, Xueqing; Li, Yong
• Is Part Of: ANZ journal of surgery. Volume 91:Issue 1/2(2021)
• Page Start: E20
• Page End: E24
• Publication Date: 2020-04-27
• Subjects: congenital absence of the vagina -- sigmoid -- total laparoscopic -- vaginoplasty; Surgery -- Periodicals; 617.005
• DOI: 10.1111/ans.15786
• Languages: English
• ISSNs: 1445-1433

Abstract

Abstract : Total laparoscopic sigmoid vaginoplasty is a minimally invasive procedure with quick recovery and acceptable cosmetic effects. It is an ideal treatment for the congenital absence of the vagina. Abstract: Background: This study aimed to evaluate the technical feasibility and outcomes of total laparoscopic sigmoid vaginoplasty (TLSV) in women with congenital absence of the vagina. Methods: We investigated 10 women with congenital absence of the vagina, who underwent TLSV at Guangdong Provincial People's Hospital between April 2013 and July 2016. Results: All 10 women were unmarried, the mean age was 22.8 (range 17–33) years, mean estimated blood loss was 149.2 ± 54.8 (60–170) mL, mean operative time was 108.4 ± 52.6 (130–210) min, mean post‐operative hospital stay was 8.0 ± 2.8 (6–12) days and the mean neovaginal length was 13.4 ± 3.0 (12–16) cm. Eight of the 10 women were heterosexually active. Trocar port site infection and neovaginal stenosis occurred 3 months after TLSV in one patient; a vaginal mould was used to relieve the stenosis. Conclusion: TLSV is an optimal minimally invasive procedure to treat women with congenital absence of the vagina and is associated with rapid recovery and acceptable cosmetic effects.