Bowel vaginoplasty in children

نویسندگان

  • Y. K. Sarin
  • D. Pathak
  • M. Sengar
  • Yogesh Sarin
چکیده

Objectives: To describe our experience with bowel vaginoplasty done in children. Materials and Methods: This is a retrospective study of eight children aged 10 months to 8 years, who underwent bowel vaginoplasty over a period of 5 years (2000-2005). The indications of bowel vaginoplasty included anorectovestibular fistula (ARVF) associated with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome (n=6) and cloaca (n=2). The bowel segment used for vaginoplasty included colon (n=3), ileum (n=2) and duplicated rectum (n=1). In two patients of ARVF associated with uterovaginal agenesis, the distalmost part of ARVF was transected at the level of peritoneal reflection and left as neovagina, whereas the proximal bowel was pulled through at the proposed neo-anal site. All the patients were advised daily home dilatation of the neo vaginal orifice with Hegar’s dilators, for a period of

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تاریخ انتشار 2006