MRKH 증후군에서 골반복막피판을 이용한 복강경보조 질 성형술 6예
Six cases of laparoscopic assisted neovaginoplasty using pelvic peritoneal flap in MRKH syndrome
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초록
질 무형성증은 드문 부인과 질환으로, 발생 원인 중 가장 흔한 것은 MRKH 증후군으로 알려진 뮬러관 형성 부전이다. MRKH 증후군은 선천성 기형으로서 난소, 난관 및 외음부는 정상이지만 질이 형성되어 있지 않는다는 특징을 가지고 있다. 이 질환의 치료로서 질 성형이 환자의 기능적인 면이나, 정신적인 면에서도 가장 중요하며, 이를 위하여 여러 비수술적 및 수술적 방법들이 시도되어 왔다. 저자들은 복강경을 통하여 복막피판을 이용한 질 성형에 성공적인 결과를 얻은 MRKH 증후군 6예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Vaginal agenesis is rare gynecologic condition, and the most common etiology is Mayer-Rokitansky-Kster-Hauser (MRKH) syndrome, characterized by the absence of uterus and vagina and presence of normal ovaries and tubes. In such patients, the evaluation for associated malformations as well as careful non-surgical and surgical approach are essential. The neovaginoplasty is an important issue for these patients in regard of functional and psychological standpoint. There are many options available for creation of neovagina. We report six cases of laparoscopic assisted neovaginoplasty using pelvic peritoneal flap.
참고문헌 (15)
- Evans TN, "Vaginal malformations", Am J Obstet Gynecol, 141, pp.910~920 (1981)
- Belleannée G, , Acta Cytologica, 42, pp.945~948 (1998)
- Fedele L, "A new laparoscopic procedure for creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome", Fertil Steril, 66, pp.854~857 (1996)
- Shulman LP, "Müllerian anomalies", Clin Obstet Gynecol, 51, pp.214~222 (2008)
- Melndoe AH, "An operation for the cure of congenital absence of the vagina", J Obstet Gynecol Br Common, 45, pp.490~494 (1938)
- Tancer ML, "Vaginal epithelialization with human amnion", Obstet Gynecol, 54, pp.345~349 (1979)
- Goligher JC, "The use of pedicled transplants of sigmoid or other parts of the intestinal tract for vaginal construction", Ann R Coll Surg Engl, 65, pp.353~355 (1983)
- Rangaswamy M, "Laparoscopic vaginoplasty: using a sliding peritoneal flap for correction of complete vaginal agenesis", Eur J Obstet Gynecol Reprod Biol, 98, pp.244~248 (2001)
- ACOG Committee on Adolescent Health Care, "ACOG Committee Opinion. Number 274, July 2002. Nonsurgical diagnosis and management of vaginal agenesis", Obstet Gynecol, 100, pp.213~216 (2002)
- Frank RT, "The formation of an artificial vagina without operation", Am J Obstet Gynecol, 35, pp.1053~1055 (1938)
- Williams JK, "The bicycle seat stool in the treatment of vaginal agenesis and stenosis", J Obstet Gynecol Neonatal Nurs, 14, pp.147~150 (1985)
- Hendren WH, "Correction of congenital abnormalities of the vagina and perineum", J Pediatr Surg, 15, pp.751~763 (1980)
- Sadove RC, "Utilizing full-thickness skin grafts for vaginal reconstruction", Clin Plast Surg, 15, pp.443~448 (1988)
- Davydov SN, "Colpopoeisis from the peritoneum of the uterorectal space", Akush Ginekol (Mosk), 45, pp.55~57 (1969)
- Tamaya T, "The use of peritoneum for vaginoplasty in 24 patients with congenital absence of the vagina", Arch Gynecol Obstet, 249, pp.15~17 (1991)