Abstract:
:Adult and pediatric urologists, gynecologists, and surgeons are often faced with primary reconstruction of complex congenital defects of the vagina as seen in cloacal anomalies, disorders of sexual development (DSD), and vaginal agenesis as well as with the secondary repair of post-surgical or radiation-induced vaginal stenosis or foreshortening. Many options have been reported and the choice of a particular method is influenced by surgeon experience, regional trends, availability of multidisciplinary teams and many other social and age-related factors. No one option has become the solution for all patients of all ages and anatomical challenges. Here we discuss a newer approach that can be used as an option for bridging the gap in young patients with a long distance from the perineum to the vaginal structures, for total vaginoplasty in some cases of primary vaginal agenesis in adolescents or young adults, and for correction of stricture in patients who have undergone previous reconstructions. Our initial experience using autologous buccal mucosa for reconstructions on eight patients with varying diagnoses is retrospectively reviewed.
journal_name
Semin Pediatr Surgjournal_title
Seminars in pediatric surgeryauthors
van Leeuwen K,Baker L,Grimsby Gdoi
10.1016/j.sempedsurg.2019.150843subject
Has Abstractpub_date
2019-10-01 00:00:00pages
150843issue
5eissn
1055-8586issn
1532-9453pii
S1055-8586(19)30101-5journal_volume
28pub_type
杂志文章abstract::Sternal clefts, ectopia cordis, and Cantrell's pentalogy continue to be very rare congenital anomalies in pediatric surgery. Unfortunately, these conditions present as neonatal emergencies and demand early surgical intervention. This article reviews the embryological development of the chest wall, specific sternal def...
journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:10.1053/j.sempedsurg.2014.09.006
更新日期:2014-10-01 00:00:00
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:10.1053/j.sempedsurg.2018.05.009
更新日期:2018-06-01 00:00:00
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:10.1053/spsu.2001.26837
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
doi:10.1053/j.sempedsurg.2006.02.004
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
pub_type: 杂志文章,评审
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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journal_title:Seminars in pediatric surgery
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