Abstract
Congenital vaginal agenesis, with a prevalence of 1 in 4000 females, occurs mainly as a feature of the Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Management of patients with MRKH syndrome includes, along with the proper psychological support, the creation of a neovagina to give them the opport...
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PMID: 20089458
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Abstract
Our data demonstrate that bleb formation depends on radial conjunctival incision during fornix-based trabeculectomy and surgical conjunctival scarring from previous trabeculectomy....
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PMID: 19214551
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Abstract
Gemella species should be added to the long list of organisms that may rarely cause bleb-associated endophthalmitis....
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PMID: 19680060
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Abstract
Noncontact in vivo confocal microscopy of filtering blebs correlated with the clinical morphology. This noncontact approach provides information about bleb morphology without the risk of bleb microinjury, leak, or infection. Further study and optimization for imaging surface tissues are needed to im...
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PMID: 19680057
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Abstract
This small study suggests that ASOCT imaging may affect decision-making with regard to LSL by providing information not apparent on clinical examination....
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PMID: 19680059
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Abstract
In the first series, ulcer healing was observed in 16 cases out of 19 (84%). Recurrent ulcers were observed in one case after 3 years. Valve competence was ascertained in 13 cases per 803 patient-months (1.6/100 patient-months). With regard to the second series, competence was achieved in all cases...
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PMID: 18945575
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Abstract
Vaginal atresia is often associated with high imperforate anus. Because the commonly used methods of surgical vaginal creation (eg, McIndoe, intestinal segment interposition) may adversely affect urinary and fecal continence, the less-invasive Vecchietti procedure was selected for a young adult with...
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PMID: 19660220
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Abstract
Clinical results of restoration of intestinal continuity with a jejunal pouch after total and proximal gastrectomies may be attributed, at least in part, to the relationship between the motor activity of the gastric remnant, duodenum and jejunal pouch.
Copyright (c) 2009 S. Karger AG, Basel....
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PMID: 19420945
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Abstract
Although it was thought that the surgical techniques shown here were possible only in selected patients, successful esophageal reconstructions were achieved with this new concept in 22 consecutive patients with various backgrounds. The procedures shown here are not new; however, the concept of using...
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PMID: 19420946
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Abstract
Vaginal reconstruction by CVP is characterized by good anatomical and functional results, sustained by long-term observation. The resultant epithelium is very similar to that of the native vagina in histology and function. All vaginas are functional and the level of patient satisfaction was high. Th...
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PMID: 18384639
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Abstract
We postulate that the integration of surgical techniques for vulvar and vaginal reconstruction into primary treatment would improve aesthetic and functional results and therefore quality of life. We systematically searched the literature for surgical procedures designed and validated for vulvovagina...
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PMID: 18510987
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Abstract
Our experience shows the feasibility and accuracy of the endoscopic ultrasound probe in evaluating the structure of the rudimentary uterine horns in Rokitansky syndrome....
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PMID: 17612536
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Abstract
The administration of a thoracic epidural bolus may decrease flux at the anastomotic end of the gastric tube....
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PMID: 18292435
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Abstract
There was an overall qualitative agreement on the volume change between the simulated results and the clinical recording. Increasing the pouch volume size from 22 to 105 ml caused a decrease of the maximum circumferential stress from 14.14 to 11.80 kPa and the maximum longitudinal stress from 9.87 t...
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PMID: 18204886
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Abstract
OBJECTIVE: To describe a novel Müllerian anomaly and management options. DESIGN: Case series report. SETTING: Metropolitan tertiary care children's hospital. PATIENT(S): Three caucasian girls, aged 12, 13, and 15 years, with a novel congenital anomaly. INTERVENTION(S): Interval staged vaginoplast...
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PMID: 17678652
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Abstract
We reached from this review was that such a reconstruction does reduce unpleasant symptoms, aids weight maintenance, and is a valuable operative approach....
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PMID: 17963246
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Abstract
Rokitansky syndrome could be classified into 4 clinical types according to the degree of development of the uterus. The labio-vestibular technique was simple and not associated with any graft rejection, hair growth or contraction of the reformed tract. Dyspareunia and marital failure were less signi...
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PMID: 18158633
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Abstract
We believe that the neovagina with sigma is at present the best option in patients with absence or hipoplasia vaginal. The advantages are the possibility of precocious and one time correction, a neovagina of dimensions and oiling adapted without need of expansions or molds, an aesthetic excellent as...
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PMID: 18444389
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Abstract
LASV is an effective approach for women with MRKH syndrome. Both the anatomical and functional outcomes are satisfactory....
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PMID: 17903225
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Abstract
It is increasingly clear that vaginal dilation treatment is a successful method of vaginal creation and avoids the risks of surgery. When vaginal dilation is unsuitable or unsuccessful, however, vaginal reconstruction surgery is needed. Most of the novel advances in vaginal reconstruction have been...
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PMID: 17921776
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Abstract
OBJECTIVE: To introduce a simple and easy surgical alternative for formation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) that offers reasonable anatomic and functional results. DESIGN: Technique and instrumentation. SETTING: University hospital. PATIENT(S): Two p...
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PMID: 17601605
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Abstract
OBJECTIVE: To report a modification of the laparoscopic Davydov method for creation of a neovagina. DESIGN: Case study. SETTING: University gynecology practice. PATIENT(S): Female with vaginal agenesis. INTERVENTION(S): Laparoscopically assisted creation of a neovagina using a modified technique to...
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PMID: 17408622
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Abstract
BACKGROUND: Both autologous and synthetic tissue have been used to create a neovagina in women with Mayer-Rokitansky-Küster-Hauser syndrome. Despite reports on many different techniques, the ideal method of vaginoplasty has not been firmly established. CASE: A 33-year-old woman with Mayer-Rokitansk...
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PMID: 17939608
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Abstract
Obstetric vesicovaginal fistula is a tragic injury that is widespread in any country where access to emergency obstetric care is limited. More and more people are now interested in treating and caring for these women, but little is known about surgical management, and most operators have developed t...
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PMID: 17617196
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Abstract
This study was conducted to evaluate the anatomical and functional results of sigmoid colon vaginoplasty. From June 2000 to June 2005, 26 patients with congenital vaginal agenesis were evaluated and treated with sigmoid colon reconstruction at Ain Shams University Maternity Hospital as a primary pro...
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PMID: 17203327
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Abstract
The combination of jejunal pouch and uncut Roux limb improved overall nutritional parameters when compared with the traditional Roux-en-Y, while preserving aboral propagation of jejunal pacesetter potentials....
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PMID: 17629998
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Abstract
Twenty-one (81%) patients completed the programme. Seventeen of these 21 (81%) were sexually active without any reported difficulties, whereas 4 were on a maintenance regime. In those who completed the programme the mean vaginal length increased from 4.0 to 8.5 cm and 86% achieved a vaginal length w...
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PMID: 17449508
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Abstract
We report the first case of autologous vaginal tissue transplantation in a 28-year-old women with MRKHS. The patient was subjected to a 1 cm2 full-thickness mucosal biopsy from the vaginal vestibule. Following enzymatic dissociation, cells were inoculated onto collagen IV-coated plates and cultured...
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PMID: 17449879
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Abstract
Laparoscopic procedure used in this study is simple, safe, and effective. Anatomical and functional results obtained suggest this laparoscopic procedure as the treatment of choice for this syndrome....
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PMID: 17467712
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Abstract
Preservation of the vagus nerve during reconstruction using ileocolon interposition after total gastrectomy for stage IA is a superior approach for the prevention of postoperative diarrhea....
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PMID: 17629055
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Abstract
Transient bloodletting of the short gastric vein in the gastric tube during esophagectomy may improve the microcirculation of the oral side of the gastric tube....
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PMID: 17345126
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Abstract
Colon interposition by the posterior mediastinal route provides a good outcome and is considered the route of first choice....
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PMID: 17383325
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Abstract
The age ranged from 16 to 22 years (mean 19.5 years). Out of 10 patients, who had undergone vaginoplasty, all were sexually active; 8 had satisfactory intercourse, 1 chronic mild dyspareunia due to partial stenosis and 1 was lost to follow up. 2 out of 10 had inflammatory reaction and 1 had psycholo...
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PMID: 17119989
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Abstract
Vaginal aplasia is an uncommon congenital anomaly which is usually diagnosed as part of the Mayer-Rokitansky-Kuster-Hauser syndrome. The appropriate management of the anomaly includes the creation of a neovagina, and various surgical or non-surgical techniques have been described. Among them the Cre...
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PMID: 17350745
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Abstract
Sigmoid vaginoplasty is a valuable procedure in girls with the Rokitansky syndrome. We recommend reconstruction during adolescence because the local conditions are excellent and it allows adaptation of the anatomy to physical development....
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PMID: 17296423
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Abstract
Opposite gender should not be assigned in patients affected by penile agenesis, who are better raised according to their karyotype and hormonal production. Definitive phalloplasty in adults may achieve good results. Nevertheless, this procedure is generally performed in postpubertal boys and it is n...
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PMID: 17296424
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Abstract
Eight eyes presented with late endophthalmitis after an uneventful postoperative period, for an incidence of 1.3%. The endophthalmitis occurred between 1 year and 7 years after the filtering surgery. Conjunctival swabs were taken in all cases. Vitreous swabs were taken in only six cases. There were...
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PMID: 17417150
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Abstract
The trabeculectomy site as well as the trabeculodescemetic membrane (in NPDS), the scleral flap, the conjunctival flap, the iris, and the relationship between these structures were analyzed. Functioning blebs had a hyporeflective and irregular conjunctival tissue associated with a route for aqueous...
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PMID: 17417146
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Abstract
We have developed a procedure involving jejunal pouch-esophagostomy to avoid such postoperative reflux. The novel procedure reported here initially involves folding a jejunal segment of approximately 35 cm in length. A side-to-side jejuno-jejunostomy at the anti-mesenteric side was then affected usi...
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PMID: 17429774
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Abstract
We report a novel location for reservoir placement in a man who had undergone multiple pelvic surgeries after suffering a severe pelvic crush injury....
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PMID: 17187701
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Abstract
A 16-year-old woman experiencing primary amenorrhoea and cyclic pelvic pain was diagnosed with Rokitansky syndrome, which was characterized by the absence of the uterus and the upper two-thirds of the vagina, normal salpinges and ovaries and a 4 x 3 cm Müllerian remnant containing functioning endom...
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PMID: 16917121
PDF is available here.
Abstract
PURPOSE: To describe the technique of laparoscopy-assisted undiversion of an ileal conduit into a continent orthotopic ileal neobladder performed on a patient with a previous radical cystoprostatectomy and ileal conduit. CASE REPORT: A 57-year-old man presented with a prolapsed stoma and a history o...
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PMID: 17144859
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Abstract
We present an alternative minimally invasive approach using a combination of laparoscopy and vaginoscopy in the case of a 10-year-old girl. This approach allows for treatment in cases wherein vaginoscopy provides inadequate visualization with the advantage of enabling full evaluation for associated...
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PMID: 17011253
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Abstract
We report a successful treatment with coil embolisation of an intercostal artery for ulcer bleeding in a gastric tube in a 70-year-old man who underwent a total oesophagectomy and gastric tube reconstruction for oesophageal cancer. This case teaches us to search aberrant feeding vessels when active...
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PMID: 16940369
PDF is available here.
Abstract
This study showed LATG/JPI to be feasible and safe. With technical modifications, LATG/JPI can become a potentially effective option for improving patients' quality of life after total gastrectomy....
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PMID: 16755350
PDF is available here.
Abstract
OBJECTIVE: To compare safety and effectiveness of two different instrument sets for the laparoscopic Vecchietti operation for the creation of a neovagina. DESIGN: Descriptive study. SETTING: Tertiary referral center. PATIENT(S): Twenty-six women with Rokitansky syndrome. Twelve consecutive patients...
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PMID: 16806207
PDF is available here.
Abstract
Dai-kenchu-to increased intestinal motility and decreased postoperative symptoms of patients with total gastrectomy with jejunal pouch interposition....
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PMID: 16769267
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Abstract
At vaginoscopy, the neovaginal mucosa appeared smooth, lacking the folds that characterize the normal vagina; 12 months after the operation, an iodium-positive epithelium was present in all neovaginae. Mild ultrastructural modifications, as compared with normal vaginal mucosa, were reduced maturatio...
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PMID: 16813744
PDF is available here.
Abstract
Colonic mucosal and buccal mucosal grafts urethroplasty are feasible procedures for the treatment of long segment urethral stricture, and Colonic mucosal graft urethroplasty may be considered when more conventional procedures fail or complicated urethral strictures greater than 10 cm long....
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PMID: 16784675
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Abstract
An interposed jejunum pouch showed bursts of contractile activity that affected postoperative gastrointestinal function and patient QOL....
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PMID: 16627058
PDF is available here.
Abstract
We report on five women who underwent laparoscopic vaginoplasty. Three women underwent a laparoscopic Vecchietti procedure and two underwent a laparoscopic Davydov procedure. Details were recorded on preoperative features, perioperative problems and early postoperative outcome. Laparoscopic vaginopl...
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PMID: 16487208
PDF is available here.
Abstract
Dilator therapy under the guidance of a trained clinical nurse educator was successful in creating a functionally useful vagina and was well tolerated in all cases of Müllerian agenesis. Patients suffering from segmental vaginal agenesis all had surgical creation of a neovagina with the aid of an a...
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PMID: 16441689
PDF is available here.
Abstract
We have developed a tissue-engineered ventral hernia repair system using our novel aligned collagen tube and autologous skeletal muscle satellite cells. In this model system, skeletal muscle satellite cells were isolated from a biopsy, expanded in culture, and incorporated into our collagen tube sca...
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PMID: 16809229
PDF is available here.
Abstract
We created an artificial pouch to prevent the reflux of digestive juice from the jejunal pouch into the esophagus, and performed a new surgical technique based on the Hill's posterior gastropexy. No postoperative complications were observed and the postoperative measurement showed a decrease in the...
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PMID: 16715433
PDF is available here.
Abstract
This antireflux contrivance was performed in 37 patients undergoing total gastrectomy and in 22 patients undergoing proximal gastrectomy. There were no operative deaths in this series. Neither anastomotic bleeding nor anastomotic leakage were observed. In a questionnaire survey, 5 patients answered...
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PMID: 17164548
PDF is available here.