Two case reports of less invasive surgery using interceed (oxidized regenerated cellulose) absorbable adhesion barrier for vaginoplasty in Meyer-Rokitansky-Küsterhauser syndrome

The objective of this case study is to present our experiences of a surgical innovative approach for vaginal agenesis using Interceed. The present report involved two subjects diagnosed to have vaginal agenesis due to Mayer-Rokitansky-Kiister-Hauser syndrome. Operation procedure involved the creatio...

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Bibliographic Details
Published inInternational surgery Vol. 94; no. 1; p. 48
Main Authors Inagaki, Mieko, Motoyama, Satoru, Laoag-Fernandez, Jovelle B, Yasuda, Ritsuko, Maruo, Takeshi
Format Journal Article
LanguageEnglish
Published Italy 01.01.2009
Subjects
Adolescent
Cellulose, Oxidized - therapeutic use
Female
Humans
Minimally Invasive Surgical Procedures - methods
Reconstructive Surgical Procedures - methods
Syndrome
Urogenital Abnormalities - diagnosis
Urogenital Abnormalities - surgery
Vagina - abnormalities
Vagina - surgery
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Summary:The objective of this case study is to present our experiences of a surgical innovative approach for vaginal agenesis using Interceed. The present report involved two subjects diagnosed to have vaginal agenesis due to Mayer-Rokitansky-Kiister-Hauser syndrome. Operation procedure involved the creation of a neovaginal tunnel and then a mold wrapped with Interceed was placed in the neovagina. The duration of surgery was around 30 min with minimal blood loss. Hospitalization stay was only 2 days after the procedure, with no operative and postoperative complications. Epithelialization of the neovagina was achieved within a month after surgery. The patients were satisfied with the outcome. The neovagina created with this procedure was the same with the normal adult vagina histologically and physiologically. In conclusion, the creation of a neovagina using Interceed resulted in favorable outcome and this approach may be a potential alternative to the management of vaginal agenesis.
ISSN:0020-8868