Full-thickness skin grafts for vaginal reconstruction in mayer-fokitansky-hauser syndrom.

Lee, Jong Moon; Han, Jae Sik; Jung, Won Kyun

Original Article

Journal of the Korean Society of Plastic and Reconstructive Surgeons 1998;25(5):897-901.
Published online July 1, 1998.

Full-thickness skin grafts for vaginal reconstruction in mayer-fokitansky-hauser syndrom.

Jong Moon Lee, Jae Sik Han, Won Kyun Jung

Abstract

Mayer-Rokitansky-Kuster-Hauser Syndrom is characterized by the absence of the vagina and the uterus, the presence of apparently normal tubes and ovaries, feminine appearance, normal female secondary sexual characteristics, a normal 46, XX karyotypes, and a feminine psychosexual orientation. Absence of the vagina results from an embryological arrest in the development of the lower portion of the Mullerian system. Various methods of surgical treatment for the vaginal absence in this syndrom have been introduced but the ideal method to restore the original dimension and function of the normal vagina was not found. The two cases reviewed in this paper were all treated with modified McIndoe operation using full thickness skin grafts. Postoperatively both women were satisfied without complications, i,e. lack of skin graft, bleeding, urethrovaginal fistula, perforation of the rectum, rectovaginal fistula and significant vaginal stricture. This paper reveals the satisfactory results that were uniformly good.