Re: congenital absence of vagina

From: Bernard Cristalli (bcrist@club-internet.fr)
Mon Jun 26 06:14:28 2000


We don't perform grafts any longer due to that kind of trouble. We use secondary cicatrization on the mould. You get normal vagina then.

--
Bernard Cristalli MD AMACOG
AIHP - ACCA
Paris France
Bernard.Cristalli@CliniquedelEssonne.fr
http://www.CliniquedelEssonne.fr
http://www.obgyn.net/corresp/cristalli.htm
http://www.gyneweb.fr
'64 Mk2 3.8

> De : hwoeifen@yahoo.com (Jacqueline SooHoo) > Répondre à : ob-gyn-l@obgyn.net > Date : Mon, 26 Jun 2000 01:18:02 -0500 > À : Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Objet : congenital absence of vagina > > 23 year old female, with primary ammenorrhea, periodical abdominal pain > for more than 10 years. > > PE: normal external genitals. blind end of vagina with a depth of 2cm. > > Pelvic Ultrasound Examination: congenital absence of vagina; > retroversion of uterus with normal uterus size(6.9*4.3*3.0cm), multiple > high-density echo of the uterus cavity. Cervix diameter is 4cm. left > ovary 2.7*1.2cm, right ovary was not detected. > > The patient went through a successful vagina reconstruction surgery > using autologous skin graft (from the hypogastric area) on November > 1999. Molds were used to maintain the size and length of the vagina. > > The patient is planning to udergo another surgery to link the vagina and > the uterus. Our problem is which kind of GRAFT to use for the > utero-vagina reconstruction? From past experience, the ultimate effect > of thin skin graft was not favorable mainly due to granulation. >





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