CERVICOVAGINAL APLASIA: METHODS FOR SURGICAL REPAIR


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Abstract

Objective: to improve methods for reconstructive plastic surgery for cervicovaginal aplasia (complete aplasia of the vagina, uterine cervix, and cervical canal). Subjects and methods. During the period 2000-2012, we operated on 456 patients with different genital malformations, including 47 patients with cervicovaginal aplasia. Results. By taking into consideration the failure and inefficiency of reconstructive surgery, hysterectomy, followed by the formation of the artificial vagina (abdominal colpopoiesis), was carried out in 33 patients with functioning uterus rudimentarius, complete aplasia of the vagina, uterine cervix, and cervical canal. Fourteen patients with functioning uterus, cervix uteri, aplasia of the cervical canal and vagina underwent reconstructive plastic surgery to make uterovaginal anastomosis, which yielded positive long-term results. Conclusion. No ideal method for repairing the cervical canal has been found so far. Conceivably, an operation to form an anastomosis between the functioning uterus and the neovagina will become one of the alternative methods.

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About the authors

L. V ADAMYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology

Email: aleyla@gmail.com

T. M GLYBINA

Izmailovo City Children's Clinical Hospital, Moscow

Z. N MAKIYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology

Email: makiyan@mail.ru

A. A STEPANYAN

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology

Email: aleyla@gmail.com

Z. A GADZHIYEVA

Moscow State University of Medicine and Dentistry

Email: vip.zula@mail.ru

V. O PANOV

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology

Email: o_panov@oparina4.ru

E. A KULABUKHOVA

Academician V.I. Kulakov Research Center of Obstetrics, Gynecology and Perinatology

Email: e_kulabuhova@oparina4.ru

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