June 18th, 2018

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Vaginoplasty: A Modern Approach: A Report of 2 Cases
Authors:  Jonathan M. Fussey, M.B.Ch.B.(Hons), David M. Luesley, M.D., M.A., FRCOG, and Guy D. Sterne, M.D., FRCS(Plast)
BACKGROUND: Split-thickness skin graft vaginoplasty is one of many methods for vaginal reconstruction. In its 130-year history it has been modified by numerous authors in attempts to improve graft viability and neovaginal function. We describe a modern approach that aims to improve outcomes and reduce complications.
CASES: Two cases of split-thickness skin graft vaginoplasty are presented in which the traditional Abbé-McIndoe technique was supplemented by the combined use of vacuum-assisted closure and fibrin tissue sealant. In both cases 100% graft survival and normal neovaginal function were observed, with no recipient site complications. Both patients mobilized on postoperative day 3, and both were sexually active 4 months postoperatively.

CONCLUSION: This approach has not been described previously in the literature. The impressive results seen in these cases suggest that the use of vacuum-assisted closure and fibrin tissue sealant in combination may improve graft survival and resulting neovaginal function.
Keywords:  fibrin tissue sealant; grafting, skin; plastic surgery; split-thickness skin graft; surgical procedure, reconstructive; vacuum-assisted closure; vaginoplasty
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