Obiective: The surgical management of the absence of the vagina is a complex problem and constitutes a significant technical challenge. Herein we present our successful experience with va-einal reconstruction by the use of a modified ileal segment according to the Monti principle. Methods: Six patients aged fiom 23 to 4l years (mean 33 years) were referred to our institr"rtion for vaginal stenosis. In our series, ileum has been used to create the neovagina: the isolated sesment has been longitudinally detubularized and transversally retubularized in order to conlìgure the roof of the neovasina. Results: The mean operating time was 220 min. No intra-operative complication occurred. The mean follow-up of this series was l6 months. At the latest follow-up, all patients had patent moisr neova_sinas. but excessive vaginal m,.rcous was not a problem in any patient in our series. Crtnc{usions.' Neovaginal creation using isolated ileal segments accordin-e to the Monti channel principle provide excellent tissue for vaginal replacement, providing excellent patient satisfaction and relatively low morbidity. Cosmetic, functional and anatomical results were encouraging. In our opinion our technique may be indicated for all cases of vaginal absence: congenital abnormalities in the pediatric popr,rlation. va-uinal stenosis after treatment of pelvic tumors, severe vaginal scarrin-e secondary to chronic inflammatory disease or in case of secondary correction after failure gender surgery.

Transverse Retubularized lleal Vaginoplasty: A NewApplication of the Monti Principle-Preliminary Report

S. Siracusano;
2005

Abstract

Obiective: The surgical management of the absence of the vagina is a complex problem and constitutes a significant technical challenge. Herein we present our successful experience with va-einal reconstruction by the use of a modified ileal segment according to the Monti principle. Methods: Six patients aged fiom 23 to 4l years (mean 33 years) were referred to our institr"rtion for vaginal stenosis. In our series, ileum has been used to create the neovagina: the isolated sesment has been longitudinally detubularized and transversally retubularized in order to conlìgure the roof of the neovasina. Results: The mean operating time was 220 min. No intra-operative complication occurred. The mean follow-up of this series was l6 months. At the latest follow-up, all patients had patent moisr neova_sinas. but excessive vaginal m,.rcous was not a problem in any patient in our series. Crtnc{usions.' Neovaginal creation using isolated ileal segments accordin-e to the Monti channel principle provide excellent tissue for vaginal replacement, providing excellent patient satisfaction and relatively low morbidity. Cosmetic, functional and anatomical results were encouraging. In our opinion our technique may be indicated for all cases of vaginal absence: congenital abnormalities in the pediatric popr,rlation. va-uinal stenosis after treatment of pelvic tumors, severe vaginal scarrin-e secondary to chronic inflammatory disease or in case of secondary correction after failure gender surgery.
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11697/156828
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