What Is Vaginal Reconstruction?

Vaginal reconstruction refers to any surgical procedure that repairs structural defects, structures, or reconstructs the vagina. When the purpose of vaginoplasty is to construct a new vagina in the human body, it is sometimes called neovaginoplasty. However, surgeons rarely use the name for operations performed to construct a new vagina.

Vaginal reconstruction

Right!

Vaginal reconstruction refers to any surgical procedure that repairs structural defects, structures, or reconstructs the vagina. when

Congenital no vagina

During the development of human embryos, no matter male or female, there are two pairs of longitudinal ducts in the middle kidney duct and the adjacent side of the middle kidney duct. The longitudinal section of the mid-renal duct is derived from the fallopian tube; the horizontal section of the mid-renal duct is derived from the uterine floor and body; the longitudinal section of the tail section is derived from the cervical and upper vaginal sections. The tail ends of the merged paramedullary canals on both sides extend in contact with the dorsal surface of the genitourinary sinus. At the third month of the embryo, they protrude into a pararenal nodule, and the pararenal nodules on both sides communicate to form the lower vaginal segment. There is no abnormal development of the upper vaginal section of the vagina, that is, the bilateral pararenal ducts do not extend to the tail after meeting. Its incidence is about 1/5000. There is no space between the urethra and rectum, and there is only some loose tissue between the two. Some patients have only a shallow depression at the vaginal opening, which is part of the vagina evolved by the genitourinary sinus. Most of them have no uterus or only the primordial uterus, and occasionally also There is a uterus or a horned uterus, and the ovaries generally develop normally, and the secondary sexual characteristics are good.

Vaginal atresia

Vaginal atresia is caused by developmental stagnation at the junction of the caudal end of the bilateral midrenal duct and the genitourinary sinus during embryonic development. Can be divided into two types according to the degree of locking.

1. Complete vaginal atresia The vaginal lumen is completely atresia, uterine and ovarian dysplasia, no reproductive function, vaginal reconstruction is required.

2. Partial vaginal atresia is due to the lower end of the bilateral mid-renal ducts meeting and not penetrating. Only the lower part of the vagina is closed, and the upper part is the normal vagina.

What to prepare before vaginal reconstruction

1. Prepare for bowel surgery before surgery.

2. Enter the liquid diet and prepare the skin the day before the operation, and clean the enema the night before and the morning after the operation.

3. Clean the perineal skin 3 days before the operation.

4. Take broad-spectrum antibiotics daily before surgery.

Preparation before vaginal reconstruction:

1. After admission, give laxatives, liquid diet for 3 to 5 days, and intestinal sterilants. Clean enema was performed the night before the operation.

2. Perineal skin preparation: After admission, take a daily bath to keep the perineal skin clean. Shave pubic hair before surgery.

3. Catheterization and retention of the catheter before surgery.

4. Give antibiotics throughout the body.

1. Stay in the urinary catheter for 7-10 days.

2. Control defecation for ten days. Postoperative diet is a low residue liquid food. Intestinal peristalsis inhibitors such as opium tincture and belladonna mixture are given. Eight days after surgery, patients can be given oral honey or other laxatives to help patients with bowel movements.

3. Absolutely bedridden.

4. If there is a fecal contamination dressing after surgery, it must be replaced in time.

5. Give antibiotics systemically for 5-7 days.