{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T06:57:40Z","timestamp":1760425060096},"reference-count":18,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2011,7,28]],"date-time":"2011-07-28T00:00:00Z","timestamp":1311811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To present our experience of vaginal reconstruction with the use of a pedicled ileum segment and laparoscope assistance, and to analyze its complications and long\u2010term anatomic and functional results.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The abdominal and perineal approaches were performed simultaneously with the patient in a special position. Under the guidance of laparoscopy, the target ileal segment was harvested and transposed down to the perineum through an artificial tunnel between the bladder and the rectum. A silicon vaginal tutor was introduced into the vaginal cavity and maintained all day long for 2\u20133\u00a0months. The complications and the anatomical and functional results were summarized and analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>From February 2002 to June 2010, 82 patients underwent laparoscope\u2010assisted total vaginal reconstruction with a pedicled ileum segment at our department. Complications developed in 16 of 82 patients, including rectum and\/or bladder injury during operation, acute renal failure, delayed healing of the ileocutaneous anastomosis, introital stenosis, and partial or complete intestinal obstruction. The abdominal cutaneous scar was acceptable after the surgery. The vulva was not altered, which was especially significant for patients with congenital vaginal atresia. The neovagina was patent, soft, moist, and flexible. The mean width and depth of the neovagina at the latest postoperative visit measured 3.2 and 15\u00a0cm, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The favorable long\u2010term anatomical and functional results demonstrate that our technique is ideal for patients with congenital vaginal atresia or patients who need secondary vaginal reconstruction. For the primary male\u2010to\u2010female transsexuals or hermaphrodites, it can be an alternative method for vaginal construction.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-011-1187-3","type":"journal-article","created":{"date-parts":[[2011,7,27]],"date-time":"2011-07-27T15:09:18Z","timestamp":1311779358000},"page":"2315-2322","source":"Crossref","is-referenced-by-count":13,"title":["Laparoscope\u2010Assisted Creation of a Neovagina Using Pedicled Ileum Segment Transfer"],"prefix":"10.1002","volume":"35","author":[{"given":"Yao\u2010Zhong","family":"Zhao","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery Changzheng Hospital, Second Military Medical University 415 Fengyang Road 200003 Shanghai People\u2019s Republic of China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hua","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery Changzheng Hospital, Second Military Medical University 415 Fengyang Road 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