Applicability of Sigmoid Colon Graft for Vaginal Replacement (Colovaginoplasty) at Young Age英文文献资料.docVIP

Surgical Science, 2011, 2, 422-426 doi:10.4236/ss.2011.28092 Published Online October 2011 (http://www.SciRP.org/journal/ss) Applicability of Sigmoid Colon Graft for Vaginal Replacement (Colovaginoplasty) at Young Age Mohamed A. Baky Fahmy , Hanaa Abdel Hamid M. Al Abeissy , Mohamed M. Abdalla 1 1 2 1 Al Azher University, Cairo, Egypt Al Galaa Teaching Hospital, Cairo, Egypt E-mail: ymabfahmy@ 2 Received June 9, 2011; revised August 13, 2011; accepted August 25, 2011 Abstract Objective: to evaluate the applicability, feasibility, complications, short and long term results of vagino- plasty by using sigmoid colon graft with stapler assistance for resuming colonic continuity in children with absent vagina. Patients and Methods: records of 15 patients 8 of them had Androgen Insensitivity Syn- drome, 4 had congenital vaginal atresia, and 3 had Congenital Adrenal Hyperplasia, underwent sigmoid graft vaginal reconstruction with the aid of circular stapler during the period from 2005 to 2010 were reviewed retrospectively. Results: a neovagina was constructed in those patients who aged from 3 to 9 years (mean 4 years), where sigmoid colon was used in all patients. Hospital stay ranged from 5 to 12 days (mean 7), op- erative time ranged from 60 min to 120 min (mean 75 min). All patients were followed up 6 monthly in the first year and then yearly, complications occurred in 4 patients: introital stenosis in 2, and another 2 cases had minor wound infection. The need for neovaginal dilation was indicated in 5 out of 15 patients. There was no complications related to bowel anastomosis, no mortality in this group and the cosmetic results were ex- cellent in all cases. Conclusion: sigmoid colovaginoplasty appears to be applicable for remedy of vaginal atresia at