PMID- 19281120
OWN - NLM
STAT- MEDLINE
DCOM- 20090331
LR  - 20221207
IS  - 0042-8450 (Print)
IS  - 0042-8450 (Linking)
VI  - 66
IP  - 2
DP  - 2009 Feb
TI  - [Anatomic and histological characteristics of vagina reconstructed by McIndoe 
      method].
PG  - 107-12
AB  - BACKGROUND/AIM: Congenital absence of vagina is known from ancient times of 
      Greek. According to the literature data, incidence is 1/4 000 to 1/20 000. 
      Treatment of this anomaly includes non-operative and operative procedures. 
      McIndoe procedure uses split skin graft by Thiersch. The aim of this study was to 
      establish anatomic and histological characteristics of vagina reconstructed by 
      McIndoe method in Mayer Kuster-Rockitansky Hauser (MKRH) syndrome and compare 
      them with normal vagina. METHODS: The study included 21 patients of 18 and more 
      years with congenital anomaly known as aplasio vaginae within the Mayer 
      Kuster-Rockitansky Hauser syndrome. The patients were operated on by the plastic 
      surgeon using the McIndoe method. The study was a retrospective review of the 
      data from the history of the disease, objective and gynecological examination and 
      cytological analysis of native preparations of vaginal stain (Papanicolau). 
      Comparatively, 21 females of 18 and more years with normal vaginas were also 
      studed. All the subjects were divided into the groups R (reconstructed) and C 
      (control) and the subgroups according to age up to 30 years (1 R, 1C), from 30 to 
      50 (2R, 2C), and over 50 (3R, 3C). Statistical data processing was performed by 
      using the Student's t-test and Mann-Writney U-test. A value of p < 0.05 was 
      considered statistically significant. RESULTS: The results show that there are 
      differences in the depth and the wideness of reconstructed vagina, but the 
      obtained values are still in the range of normal ones. Cytological differences 
      between a reconstructed and the normal vagina were found. CONCLUSION: A 
      reconstructed vagina is smaller than the normal one regarding depth and width, 
      but within the range of normal values. A split skin graft used in the 
      reconstruction, keeps its own cytological, i.e. histological and, so, biological 
      characteristics.
FAU - Kozarski, Jefta
AU  - Kozarski J
AD  - Vojnomedicinska akademija, Klinika za plasticnu hirurgiju i opekotine, Beograd, 
      Srbija.
FAU - Vesanovic, Svetlana
AU  - Vesanovic S
FAU - Bogdanovic, Zoran
AU  - Bogdanovic Z
LA  - srp
PT  - English Abstract
PT  - Journal Article
PL  - Serbia
TA  - Vojnosanit Pregl
JT  - Vojnosanitetski pregled
JID - 21530700R
SB  - IM
MH  - Adult
MH  - Female
MH  - Humans
MH  - Plastic Surgery Procedures/*methods
MH  - Vagina/*abnormalities/anatomy & histology/*surgery
MH  - Young Adult
EDAT- 2009/03/14 09:00
MHDA- 2009/04/01 09:00
CRDT- 2009/03/14 09:00
PHST- 2009/03/14 09:00 [entrez]
PHST- 2009/03/14 09:00 [pubmed]
PHST- 2009/04/01 09:00 [medline]
AID - 10.2298/vsp0902107k [doi]
PST - ppublish
SO  - Vojnosanit Pregl. 2009 Feb;66(2):107-12. doi: 10.2298/vsp0902107k.