Reproductive toxicology. Ethylene glycol monoethyl ether acetate.

نویسندگان

  • Ayhan Coskun
  • Yusuf Kenan Coban
  • Mehmet Ali Vardar
  • Ahmet Cemil Dalay
چکیده

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. Background The correction of vaginal agenesis requires the creation of a neovaginal cavity that is dissected between the bladder and the rectum [1]. The technique needs to use the splitthickness skin graft or full-thickness skin graft. The procedure is not entirely satisfactory in cases of reconstructed vaginal stenosis, inadequate vaginal length. In order to prevent a possible contraction of the reconstructed vagina, a long-term vaginal stent use is required to maintain vaginal width and depth. The vacuum assisted closure-system (VAC) has recently been introduced to improve the take of skin graft in vaginal reconstruction and it has been reported to exclude the need for vaginal stent [2]. Although new techniques which does not necessitate a prolonged dilatation is developed, McIndoe's method is still one of the very popular methods of vaginoplasty and it has been shown to be effective in creation of a neovagina for patients with mullerian agenesis [3]. Several vaginal stents have been described for postoperative maintanence after Mc Indoe vaginoplasty [4-9]. We present our experience with a new silicone coated acrylic stent in 2 vaginoplasty patients. Published: 10 July 2007 BMC Surgery 2007, 7:13 doi:10.1186/1471-2482-7-13 Received: 1 November 2006 Accepted: 10 July 2007 This article is available from: http://www.biomedcentral.com/1471-2482/7/13 © 2007 Coskun et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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عنوان ژورنال:
  • Environmental Health Perspectives

دوره 105  شماره 

صفحات  -

تاریخ انتشار 1997