Vaginoplasty With Mesh Autologous Buccal Mucosa in Vaginal Agenesis: A Multidisciplinary Approach and Literature Review
Abstract Background Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity. Objectives The purpose of this retrospective study was...
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Veröffentlicht in: | Aesthetic surgery journal 2020-11, Vol.40 (12), p.694-702 |
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creator | Wu, Minliang Wang, Yuchong Xu, Jianguo Dai, Haiying Zhong, Xueying Sun, Mengyan Lv, Chuan Xue, Chunyu |
description | Abstract
Background
Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity.
Objectives
The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in neovaginal reconstruction.
Methods
Sixteen patients with vaginal agenesis admitted to our department between January 2016 and January 2019 were included in our study. A reconstruction procedure, described in detail here, involving autologous buccal mucosa as graft material was successfully conducted in all of the patients. Long-term anatomic and functional outcomes were evaluated.
Results
The blood loss during operation was estimated to be 15 to 20 mL in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10 to 14 days after the operation. All patients had a well-formed neovagina 8 to 10 cm in length, with a mean diameter of >3 finger-breadths.
Conclusions
The application of autologous buccal mucosa in neovaginal construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.
Level of Evidence: 4 |
doi_str_mv | 10.1093/asj/sjaa147 |
format | Article |
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Background
Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity.
Objectives
The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in neovaginal reconstruction.
Methods
Sixteen patients with vaginal agenesis admitted to our department between January 2016 and January 2019 were included in our study. A reconstruction procedure, described in detail here, involving autologous buccal mucosa as graft material was successfully conducted in all of the patients. Long-term anatomic and functional outcomes were evaluated.
Results
The blood loss during operation was estimated to be 15 to 20 mL in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10 to 14 days after the operation. All patients had a well-formed neovagina 8 to 10 cm in length, with a mean diameter of >3 finger-breadths.
Conclusions
The application of autologous buccal mucosa in neovaginal construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.
Level of Evidence: 4</description><identifier>ISSN: 1090-820X</identifier><identifier>EISSN: 1527-330X</identifier><identifier>DOI: 10.1093/asj/sjaa147</identifier><identifier>PMID: 32498090</identifier><language>eng</language><publisher>US: Oxford University Press</publisher><subject>Congenital Abnormalities ; Female ; Humans ; Life Sciences & Biomedicine ; Mouth Mucosa - surgery ; Reconstructive Surgical Procedures ; Retrospective Studies ; Science & Technology ; Surgery ; Surgical Mesh ; Vagina - abnormalities ; Vagina - surgery</subject><ispartof>Aesthetic surgery journal, 2020-11, Vol.40 (12), p.694-702</ispartof><rights>2020 The Aesthetic Society. Reprints and permission: journals.permissions@oup.com 2020</rights><rights>2020 The Aesthetic Society. Reprints and permission: journals.permissions@oup.com.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>true</woscitedreferencessubscribed><woscitedreferencescount>6</woscitedreferencescount><woscitedreferencesoriginalsourcerecordid>wos000595478800007</woscitedreferencesoriginalsourcerecordid><citedby>FETCH-LOGICAL-c320t-3139079b0c20e85df698bb58768b0090669de8ff0946424613fc8d63d97ac17e3</citedby><cites>FETCH-LOGICAL-c320t-3139079b0c20e85df698bb58768b0090669de8ff0946424613fc8d63d97ac17e3</cites><orcidid>0000-0003-3467-3564</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,1585,27929,27930,28253</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32498090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Minliang</creatorcontrib><creatorcontrib>Wang, Yuchong</creatorcontrib><creatorcontrib>Xu, Jianguo</creatorcontrib><creatorcontrib>Dai, Haiying</creatorcontrib><creatorcontrib>Zhong, Xueying</creatorcontrib><creatorcontrib>Sun, Mengyan</creatorcontrib><creatorcontrib>Lv, Chuan</creatorcontrib><creatorcontrib>Xue, Chunyu</creatorcontrib><title>Vaginoplasty With Mesh Autologous Buccal Mucosa in Vaginal Agenesis: A Multidisciplinary Approach and Literature Review</title><title>Aesthetic surgery journal</title><addtitle>AESTHET SURG J</addtitle><addtitle>Aesthet Surg J</addtitle><description>Abstract
Background
Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity.
Objectives
The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in neovaginal reconstruction.
Methods
Sixteen patients with vaginal agenesis admitted to our department between January 2016 and January 2019 were included in our study. A reconstruction procedure, described in detail here, involving autologous buccal mucosa as graft material was successfully conducted in all of the patients. Long-term anatomic and functional outcomes were evaluated.
Results
The blood loss during operation was estimated to be 15 to 20 mL in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10 to 14 days after the operation. All patients had a well-formed neovagina 8 to 10 cm in length, with a mean diameter of >3 finger-breadths.
Conclusions
The application of autologous buccal mucosa in neovaginal construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.
Level of Evidence: 4</description><subject>Congenital Abnormalities</subject><subject>Female</subject><subject>Humans</subject><subject>Life Sciences & Biomedicine</subject><subject>Mouth Mucosa - surgery</subject><subject>Reconstructive Surgical Procedures</subject><subject>Retrospective Studies</subject><subject>Science & Technology</subject><subject>Surgery</subject><subject>Surgical Mesh</subject><subject>Vagina - abnormalities</subject><subject>Vagina - surgery</subject><issn>1090-820X</issn><issn>1527-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>AOWDO</sourceid><sourceid>EIF</sourceid><recordid>eNqNkctv1DAQxi0EoqVw4o58Qkgo1I4TP7iFFS9pKyTEo7fIcSa7XmXjNLZZ9b9nYJdyQ5w88veb0TffEPKUs1ecGXFp4-4y7qzllbpHznldqkIIdn0fa2ZYoUt2fUYexbhjDHFZPSRnoqyMRvGcHL7ZjZ_CPNqYbul3n7b0CuKWNjmFMWxCjvRNds6O9Cq7EC31E_3dgj_NBiaIPr6mDapj8r2Pzs8jisstbeZ5CdZtqZ16uvYJFpvyAvQz_PBweEweDHaM8OT0XpCv795-WX0o1p_ef1w168KJkqVCcGGYMh1zJQNd94M0uutqraTucBsmpelBDwMzlazKSnIxON1L0RtlHVcgLsiL41w0c5MhpnaPJmEc7QS4XFtWnAkpFVeIvjyibgkxLjC08-L3uErLWfsr6RaTbk9JI_3sNDh3e-jv2D_RIqCPwAG6MGAwMDm4w_AWtakrpTVWTK18ssmHaRXylP46-Z9WpJ8f6ZDnf1r-Ca1wqSk</recordid><startdate>20201119</startdate><enddate>20201119</enddate><creator>Wu, Minliang</creator><creator>Wang, Yuchong</creator><creator>Xu, Jianguo</creator><creator>Dai, Haiying</creator><creator>Zhong, Xueying</creator><creator>Sun, Mengyan</creator><creator>Lv, Chuan</creator><creator>Xue, Chunyu</creator><general>Oxford University Press</general><general>Oxford Univ Press</general><scope>AOWDO</scope><scope>BLEPL</scope><scope>DTL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3467-3564</orcidid></search><sort><creationdate>20201119</creationdate><title>Vaginoplasty With Mesh Autologous Buccal Mucosa in Vaginal Agenesis: A Multidisciplinary Approach and Literature Review</title><author>Wu, Minliang ; Wang, Yuchong ; Xu, Jianguo ; Dai, Haiying ; Zhong, Xueying ; Sun, Mengyan ; Lv, Chuan ; Xue, Chunyu</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c320t-3139079b0c20e85df698bb58768b0090669de8ff0946424613fc8d63d97ac17e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Congenital Abnormalities</topic><topic>Female</topic><topic>Humans</topic><topic>Life Sciences & Biomedicine</topic><topic>Mouth Mucosa - surgery</topic><topic>Reconstructive Surgical Procedures</topic><topic>Retrospective Studies</topic><topic>Science & Technology</topic><topic>Surgery</topic><topic>Surgical Mesh</topic><topic>Vagina - abnormalities</topic><topic>Vagina - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Minliang</creatorcontrib><creatorcontrib>Wang, Yuchong</creatorcontrib><creatorcontrib>Xu, Jianguo</creatorcontrib><creatorcontrib>Dai, Haiying</creatorcontrib><creatorcontrib>Zhong, Xueying</creatorcontrib><creatorcontrib>Sun, Mengyan</creatorcontrib><creatorcontrib>Lv, Chuan</creatorcontrib><creatorcontrib>Xue, Chunyu</creatorcontrib><collection>Web of Science - Science Citation Index Expanded - 2020</collection><collection>Web of Science Core Collection</collection><collection>Science Citation Index Expanded</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic surgery journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Minliang</au><au>Wang, Yuchong</au><au>Xu, Jianguo</au><au>Dai, Haiying</au><au>Zhong, Xueying</au><au>Sun, Mengyan</au><au>Lv, Chuan</au><au>Xue, Chunyu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaginoplasty With Mesh Autologous Buccal Mucosa in Vaginal Agenesis: A Multidisciplinary Approach and Literature Review</atitle><jtitle>Aesthetic surgery journal</jtitle><stitle>AESTHET SURG J</stitle><addtitle>Aesthet Surg J</addtitle><date>2020-11-19</date><risdate>2020</risdate><volume>40</volume><issue>12</issue><spage>694</spage><epage>702</epage><pages>694-702</pages><issn>1090-820X</issn><eissn>1527-330X</eissn><abstract>Abstract
Background
Vaginal agenesis, a rare condition, is treated by various surgical techniques to achieve neovaginal reconstruction. The main difference between the approaches lies in the graft material used to cover the newly formed cavity.
Objectives
The purpose of this retrospective study was to describe the surgical procedure and outcomes of autologous buccal mucosal grafting in neovaginal reconstruction.
Methods
Sixteen patients with vaginal agenesis admitted to our department between January 2016 and January 2019 were included in our study. A reconstruction procedure, described in detail here, involving autologous buccal mucosa as graft material was successfully conducted in all of the patients. Long-term anatomic and functional outcomes were evaluated.
Results
The blood loss during operation was estimated to be 15 to 20 mL in all cases. No rectal or bladder injury occurred. The buccal mucosal wound completely healed 10 to 14 days after the operation. All patients had a well-formed neovagina 8 to 10 cm in length, with a mean diameter of >3 finger-breadths.
Conclusions
The application of autologous buccal mucosa in neovaginal construction is a simple procedure. Autologous buccal mucosa is an ideal material to achieve excellent cosmetic and functional results in patients with vaginal agenesis.
Level of Evidence: 4</abstract><cop>US</cop><pub>Oxford University Press</pub><pmid>32498090</pmid><doi>10.1093/asj/sjaa147</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0003-3467-3564</orcidid></addata></record> |
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subjects | Congenital Abnormalities Female Humans Life Sciences & Biomedicine Mouth Mucosa - surgery Reconstructive Surgical Procedures Retrospective Studies Science & Technology Surgery Surgical Mesh Vagina - abnormalities Vagina - surgery |
title | Vaginoplasty With Mesh Autologous Buccal Mucosa in Vaginal Agenesis: A Multidisciplinary Approach and Literature Review |
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