CONGENITAL ABSENCE OF VAGINA TREATED BY THE CLOSED INLAY SKIN GRAFT TECHNIQUE

<正> McIndoe's inlay skin grafting method for vaginal construction was modified by the use of gauze packs and temporary closure of the perineal or vaginal incision in the immediate post- operative period. Skin grafting was successful in all the 14 cases treated by this method. In the final results, the only failure was due to contraction of the graft following failure to carry out mould dilatation postoperatively. The advantages of this modification in solving the problems of pressure, immobilization, infection and hemostasis are discussed. Measures for preventing contraction of the skin graft are stressed. Operation in 1 stage is considered preferable to that in 2 stages.