Novel Minimally Invasive Technique of Neovaginoplasty Using An Absorbable Adhesion Barrier

The objective was to provide a minimally invasive neovaginoplasty technique to construct a nearly physiological vagina to facilitate sexual functioning and appropriate vaginal length in patients with congenital vaginal agenesis. This is a retrospective study at a tertiary care hospital. 52 patients with congenital vaginal agenesis owing to Mayer-Rokitansky-K üster-Hauser syndrome or androgen insensitivity syndrome presented for vaginal reconstruction. Modified McIndoe vaginoplasty was done in all patients between 2010 and 2018using a vaginal mold created with glove, nonadherent petroleum gauze, and Interceed absorbable adhesion barrier (Ethicon, Johnso n& Johnson, Somerville, NJ) that was placed in the neovagina space created between the bladder and rectum for 7 days.Operative details, complications, length, and width of the neovagina, and functional outcome were evaluated.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Instruments and Techniques Source Type: research