Vaginal Stent Research Articles

The use of a tissue expander as a vaginal stent in vaginal reconstruction

The use of a tissue expander as a vaginal stent in vaginal reconstruction

The use of a tissue expander as a vaginal stent in vaginal reconstruction

The use of a tissue expander as a vaginal stent in vaginal reconstruction

Refinement of McIndoe's vaginal reconstruction with ORFIT "S" vaginal stent.

Using McIndoe's vaginal reconstruction with the ORFIT "S" vaginal stent, we achieved good results in 5 patients with congenital vaginal absence over the past 3 years. The ORFIT "S" vaginal stent is a semirigid, porous, and inexpensive stent. The application is easy intraoperatively, and minimal daily care is required for long-term postoperative dilatation. The stent keeps the neovagina in full acceptance of the speculum after long-term follow-up.

An Intraoperative Stent for McIndoe Vaginal Construction

We report an inexpensive, easy-to-apply vaginal stent for use in McIndoe vaginal reconstruction using Surgi-Stuf inserted in a sterile condom. This material's easy compressibility and good "memory" facilitate good apposition for the skin grafts while being easily placed into the depth of the new vaginal pocket.

18 - Vaginal Reconstruction

Vaginal reconstruction can be an uncomplicated and straightforward procedure when attention to detail is maintained. The Abbe-McIndoe procedure of lining the neovaginal canal with split thickness skin grafts has become standard. The use of the inflatable Heyer-Schulte vaginal stent has enabled comfort for the patient and ease for the surgeon in maintaining skin graft approximation. For large vaginal and perineal defects, myocutaneous flaps, such as the gracilis island, have been extremely useful for correction of radiation tissue to the perineum or for the reconstruction of large ablative defects. Minimal morbidity and scarring ensues since the donor site can be closed primarily. With all vaginal reconstruction, a compliant patient is a necessity. The patient must wear a vaginal obturator for a minimum of three to six months postoperatively and is encouraged to use intercourse as an excellent obturator. In general, vaginal reconstruction can be an extremely gratifying procedure for both the functional and emotional well-being of patients.

Vaginal Reconstruction

Vaginal reconstruction can be an uncomplicated and straightforward procedure when attention to detail is maintained. The Abbé-McIndoe procedure of lining the neovaginal canal with split-thickness skin grafts has become standard. The use of the inflatable Heyer-Schulte vaginal stent provides comfort to the patient and ease to the surgeon in maintaining approximation of the skin graft. For large vaginal and perineal defects, myocutaneous flaps such as the gracilis island have been extremely useful for correction of radiation-damaged tissue of the perineum or for the reconstruction of large ablative defects. Minimal morbidity and scarring ensue because the donor site can be closed primarily. With all vaginal reconstruction, a compliant patient is a necessity. The patient must wear a vaginal obturator for a minimum of 3 to 6 months postoperatively and is encouraged to use intercourse as an excellent obturator. In general, vaginal reconstruction can be an extremely gratifying procedure for both the functional and emotional well-being of patients.