The use of a silicone-coated acrylic vaginal stent in McIndoe vaginoplasty and review of the literature concerning silicone-based vaginal stents: A case report

被引:12
作者
Coskun A. [1 ]
Coban Y.K. [2 ]
Vardar M.A. [3 ]
Dalay A.C. [4 ]
机构
[1] Department of Obstetrics and Gynecology, Sutcu Imam University, School of Medicine, Kahramanmaras
[2] Department of Plastic Surgery, Sutcu Imam University, School of Medicine, Kahramanmaras
[3] Department of Obstetrics and Gynecology, Cukurova University, School of Medicine, Adana
[4] Department of Plastic Surgery, Cukurova University, School of Medicine, Adana
关键词
Skin Graft; Graft Loss; Wound Contraction; Solid Silicone; Vaginal Agenesis;
D O I
10.1186/1471-2482-7-13
中图分类号
学科分类号
摘要
Background. Mc Indoe vaginoplasty is one of the mostly performed surgical interventions in Mullerian agenesis. Case presentations. We present our experience on the use of a new designed vaginal stent that was coated with silicone in two mullerian agenesis cases who had Mc Indoe vaginoplasty. Both full thickness and splitt thickness skin graft were used with the stent. No graft loss or hyperthrophic scarring which may be seen at the apex of neovagina after Mc Indoe vaginoplasty was observed during the follow-up period and adequate neovaginal depth were obtained in both of the patients. Conclusion. We think that the incorporation of silicone to a vaginal stent for postoperative wound care improves skin graft take and decreases a possible constriction band formation in neovagina. © 2007 Coskun et al; licensee BioMed Central Ltd.
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[1]  
McIndoe A., Treatment of congenital absence and obliterative conditions of the vagina, Br J Plast Surg, 2, pp. 224-67, (1950)
[2]  
Hallberg H., Holmstrom H., Vaginal construction with skin grafts and vacuum-assisted closure, Scand J Plast Reconstr Surg Hand Surg, 37, 2, pp. 97-101, (2003)
[3]  
Roberts C.P., Haber M.J., Rock J.A., Vaginal creation for mullerian agenesis, Am J Obstet Gynecol, 185, 6, pp. 1349-51, (2001)
[4]  
Karateke A., Gurbuz A., Haliloglu B., Kabaca C., Koksal N., Intestinal vaginoplasty: Is it optimal treatment of vaginal agenesis? a pilot study. Surgical method of sigmoid colon vaginoplasty in vaginal agenesis, Int Urogynecol J Pelvic Floor Dysfunct, 17, 1, pp. 40-5, (2006)
[5]  
Chen T.H., Refinement of McIndoe's vaginal reconstruction with ORFIT "s" vaginal stent, Plast Reconstr Surg, 94, 2, pp. 394-6, (1994)
[6]  
Hage J.J., The use of a tissue expander as a vaginal stent in vaginal reconstruction, Br J Obstet Gynaecol, 102, 1, pp. 62-3, (1995)
[7]  
Ellabban M., Oudit D., Juma A., The use of a simple syringe as a stent for McIndoe vaginal construction, Plast Reconstr Surg, 114, 2, pp. 622-3, (2004)
[8]  
Adamson C.D., Naik B.J., Lynch D.J., The vacuum expandable condom mold: A simple vaginal stent for McIndoe-style vaginoplasty, Plast Reconstr Surg, 113, 2, pp. 664-6, (2004)
[9]  
Barutcu A., Akguner M., McIndoe vaginoplasty with the inflatable vaginal stent, Ann Plast Surg, 41, 5, pp. 568-9, (1998)
[10]  
Gorgu M., Erdogan B., Akoz T., Kargi E., Deren O., Aslan G., Silicone gel sheeting for stabilization of skin grafts, Dermatol Surg, 24, 10, pp. 1073-6, (1998)