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Human Reproduction, Vol. 14, No. 4, 928-930, April 1999
© 1999 European Society of Human Reproduction and Embryology

Case Report: Laparoscopically assisted full thickness skin graft for reconstruction in congenital agenesis of vagina and uterine cervix

Chyi-Long Lee1,3, Chin-Jung Wang1, Yu-Hung Liu1, Chih-Feng Yen1, Yung-Lung Lai2 and Yung-Kuei Soong1

1 The Division of Gynecologic Endoscopy, Department of Obstetrics and Gynecology and 2 Department of Plastic Surgery, Chang Gung Memorial Hospital, Chang Gung University, Taipei, Taiwan

In patients with agenesis of the vagina and cervix but with a functional endometrium, the traditional treatment is hysterectomy with construction of a neovagina. We report successful treatment by laparoscopically assisted full thickness skin graft for reconstruction in a patient with congenital agenesis of the vagina and uterine cervix concomitant with haematometra and ovarian endometrioma in a 12 year old girl. Postoperatively, the vaginal skin graft healed well, and menstruation first appeared 4 weeks later. In our opinion, a combined laparoscopic and vaginal procedure with full thickness skin graft is an efficacious alternative in managing such genital defects.

Key words: agenesis/cervix/laparoscopy/skin graft/vagina

3 To whom correspondence should be addressed at: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Hsin Street, Kwei-Shan, Tao-Yuan, Taiwan


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C.-L. Lee, C.-J. Wang, L.-D. Swei, C.-F. Yen, and Y.-K. Soong
Laparoscopic hemi-hysterectomy in treatment of a didelphic uterus with a hypoplastic cervix and obstructed hemivagina: Case report
Hum. Reprod., July 1, 1999; 14(7): 1741 - 1743.
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