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先天的質缺損症의 Baldwin氏 人工造膣術의 變法

The modified Method of Baldwin´s Operation in Congenital Absence of Vagina

대한산부인과학회지 1968년 11권 10호 p.39 ~ 44
김승조 (  ) - 가톨릭醫大 産婦人科學敎室

宋升圭 (  ) - 가톨릭醫大 産婦人科學敎室
崔太一 (  ) - 가톨릭醫大 産婦人科學敎室

Abstract


The purpose of this paper is to describe a modified method of Baldwin´s operation, follow-up study and review of literature in congenital absence of Vagina.
In order that blood supply may not be interrupted, author made transeverse invagination against of vertical invagination of the original Baldwin´s method, with intestinal loop into the tunnel which was newly made by vaginal procedur.
Vaginal vestibiilum was traded upward to help epithelizatiou, and sutured with intestinal loop which"`should be-vaginal opening.
The intestinal which was invaginated into the tunnel was sutured by chromic cat gut and `
3-0 silk on all sides of urethral and rectal surface of the tunnel for the purpose of preventing hernia: Author obtained successful result with use of the recent advancement of antibiotics electrolyte balance and anesthesia; and a modified Baldwin´s method for formation of the
artificial vagina as-followiiig.
In follow up study on 6 months duration.
1) There were no hernia, peritonitis orsepsis.
2) New epithelization upward 3.3cm. from introitus
3) Non significant changes were seen in Pap´s smear, vaginal smear and
icial vaginal canal during 6 months follow up after operation.
4) Discomfort or irritation due to vaginal discharge were not revealed:
5) Successful anatomic, physiologic and pschonsekual responses were obtained.

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