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Peritoneal vaginoplasty by Luohu I and Luohu II technique: a comparative study of the outcomes.

Le A, Wang Z, Shan L, Xiao T, Zhuo R, Luo G - Eur. J. Med. Res. (2015)

Bottom Line: We compare the effectiveness of the Luohu II and one of Luohu I.But patients in the Luohu II group had a significantly lower incidence of complications than patients in the Luohu I group.The physiological and anatomical features of the artificial vagina resemble the normal vagina in both techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Affiliated Shenzhen Nanshan People's Hospital of Guaongdong Medical University, Shenzhen, 518052, Guangdong, China. leaiwen@126.com.

ABSTRACT

Background: Surgical vaginoplasty is the standard treatment for women suffering from Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. This study compares the advantages and disadvantages of Luohu I technique or its modification, Luohu II technique.

Methods: Women with MRKH syndrome undergoing laparoscopic peritoneal vaginoplasty using either the Luohu I (N = 145) or Luohu II (N = 155) technique were recruited. We compare the effectiveness of the Luohu II and one of Luohu I. Sexual satisfaction was checked by Female Sexual Function Index.

Results: There was no significant difference in the mean operation time, volume of intraoperative blood loss, time for the first passage of gas, sexual satisfaction (and hospital stay for patients in either group (P > 0.05). But patients in the Luohu II group had a significantly lower incidence of complications than patients in the Luohu I group. All patients had vaginal depths more than 9 cm over 3 months post-surgery.

Conclusions: Compared with the traditional Luohu I laparoscopic peritoneal vaginoplasty, the Luohu II operation is easier to perform and causes less damage to the bladder and rectum. The physiological and anatomical features of the artificial vagina resemble the normal vagina in both techniques.

No MeSH data available.


Related in: MedlinePlus

The clinician forcing the rod through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the vaginal opening
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Fig4: The clinician forcing the rod through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the vaginal opening

Mentions: The water cushion and vaginal tunnel were formed as described above. The vaginal tunnel was dilated using the index and middle fingers of the clinician as described for the Luohu II operation. The push rod was inserted instead of the molds to push the peritoneum downward. In brief, the laparoscope was inserted through the trocar at the McBurney point. After the trocar at the umbilical site was withdrawn, the incision was extended to a length of 18 cm through which the custom-designed peritoneal push rod was inserted into the abdominal cavity. The push rod was manipulated by the clinicians through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the opening of the tunnel at the vaginal vestibule. The operation was then completed as described for the Luohu II operation (Fig. 4).Fig. 4


Peritoneal vaginoplasty by Luohu I and Luohu II technique: a comparative study of the outcomes.

Le A, Wang Z, Shan L, Xiao T, Zhuo R, Luo G - Eur. J. Med. Res. (2015)

The clinician forcing the rod through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the vaginal opening
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4546317&req=5

Fig4: The clinician forcing the rod through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the vaginal opening
Mentions: The water cushion and vaginal tunnel were formed as described above. The vaginal tunnel was dilated using the index and middle fingers of the clinician as described for the Luohu II operation. The push rod was inserted instead of the molds to push the peritoneum downward. In brief, the laparoscope was inserted through the trocar at the McBurney point. After the trocar at the umbilical site was withdrawn, the incision was extended to a length of 18 cm through which the custom-designed peritoneal push rod was inserted into the abdominal cavity. The push rod was manipulated by the clinicians through the vaginal tunnel to push the pelvic peritoneum at the bladder rectum lacunae toward the opening of the tunnel at the vaginal vestibule. The operation was then completed as described for the Luohu II operation (Fig. 4).Fig. 4

Bottom Line: We compare the effectiveness of the Luohu II and one of Luohu I.But patients in the Luohu II group had a significantly lower incidence of complications than patients in the Luohu I group.The physiological and anatomical features of the artificial vagina resemble the normal vagina in both techniques.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Affiliated Shenzhen Nanshan People's Hospital of Guaongdong Medical University, Shenzhen, 518052, Guangdong, China. leaiwen@126.com.

ABSTRACT

Background: Surgical vaginoplasty is the standard treatment for women suffering from Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. This study compares the advantages and disadvantages of Luohu I technique or its modification, Luohu II technique.

Methods: Women with MRKH syndrome undergoing laparoscopic peritoneal vaginoplasty using either the Luohu I (N = 145) or Luohu II (N = 155) technique were recruited. We compare the effectiveness of the Luohu II and one of Luohu I. Sexual satisfaction was checked by Female Sexual Function Index.

Results: There was no significant difference in the mean operation time, volume of intraoperative blood loss, time for the first passage of gas, sexual satisfaction (and hospital stay for patients in either group (P > 0.05). But patients in the Luohu II group had a significantly lower incidence of complications than patients in the Luohu I group. All patients had vaginal depths more than 9 cm over 3 months post-surgery.

Conclusions: Compared with the traditional Luohu I laparoscopic peritoneal vaginoplasty, the Luohu II operation is easier to perform and causes less damage to the bladder and rectum. The physiological and anatomical features of the artificial vagina resemble the normal vagina in both techniques.

No MeSH data available.


Related in: MedlinePlus