So i guess this is it: :shock:
RECONSTRUCTION OF THE FEMALE GENITALIA
김석권/Kim, Seok Kwun
정영하/Jung, Young Ha - Abstract - The attempts to reconstruct the vagina had been made since the ancient times, and it has been very fascinating field of medical history. According to the "history of attempts to form a vagina" by Goldwyn, the vaginal atresia was fast described in detail by Celsus and Soranus in Roman period. In the nineteenth century, Warren operated successfully on 3 patients with vaginal atresia.
In the second half of the nineteenth century, the use of inlay split-skin grafting was pioneered by Robert Abbe. In the twentieth century, the use of inlay grafts were populized by Gilles and Mclndoe. Sneguireff described success with transposing a loop of intestine, and Frank devised a simple non- surgical technique of pressure and dilatation.
The development of sex reassignment operation in transexualisra has brought more various methods of vaginoplasty, which include penile skin inversion surgery, Singapore flap, penoscrotal inversion vaginoplasty, rectosigmoid vaginoplasty, and free flap vaginoplasty.
There is no single ideal method of vaginoplasty that can be choosed in all cases, but it can be individualized according to the condition of the patients and preference of the surgeon.
We can summerize the methods of vaginoplasty based on our clinical experiences as follows.
1. In the cases of congenital agenesis, there are many choices according to the conditions of the patients, which include dilatation method, full-thickness skin grafting, tissue expansion, and rectosigmoid vaginoplasty.
2. In the patients of transsexualism in whom their the penis and scrotum ai a well preserved, the penoscrotal skin inversion flap is the method of choice.
3. The rectosigmoid flap or Pudendal thigh flap is the prefered methods in transsexualism who had their penis and scrotum being already resected or in the intersexualism.
4. The gracilis myocutaneous flap or the rectuu- :j -ยด.~;ninis myocutaneous flap are the methods of choice in vaginoplasty after tumor resectionn or radiation therapy.
RECONSTRUCTION OF THE FEMALE GENITALIA
김석권/Kim, Seok Kwun
정영하/Jung, Young Ha - Abstract - The attempts to reconstruct the vagina had been made since the ancient times, and it has been very fascinating field of medical history. According to the "history of attempts to form a vagina" by Goldwyn, the vaginal atresia was fast described in detail by Celsus and Soranus in Roman period. In the nineteenth century, Warren operated successfully on 3 patients with vaginal atresia.
In the second half of the nineteenth century, the use of inlay split-skin grafting was pioneered by Robert Abbe. In the twentieth century, the use of inlay grafts were populized by Gilles and Mclndoe. Sneguireff described success with transposing a loop of intestine, and Frank devised a simple non- surgical technique of pressure and dilatation.
The development of sex reassignment operation in transexualisra has brought more various methods of vaginoplasty, which include penile skin inversion surgery, Singapore flap, penoscrotal inversion vaginoplasty, rectosigmoid vaginoplasty, and free flap vaginoplasty.
There is no single ideal method of vaginoplasty that can be choosed in all cases, but it can be individualized according to the condition of the patients and preference of the surgeon.
We can summerize the methods of vaginoplasty based on our clinical experiences as follows.
1. In the cases of congenital agenesis, there are many choices according to the conditions of the patients, which include dilatation method, full-thickness skin grafting, tissue expansion, and rectosigmoid vaginoplasty.
2. In the patients of transsexualism in whom their the penis and scrotum ai a well preserved, the penoscrotal skin inversion flap is the method of choice.
3. The rectosigmoid flap or Pudendal thigh flap is the prefered methods in transsexualism who had their penis and scrotum being already resected or in the intersexualism.
4. The gracilis myocutaneous flap or the rectuu- :j -ยด.~;ninis myocutaneous flap are the methods of choice in vaginoplasty after tumor resectionn or radiation therapy.
Comment