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XCM Biologic Tissue Matrix xenograft and autologous micromucosa graft for vaginal reconstruction in Mayer-Rokitansky-Kuster-Hauser syndrome

Archives of Plastic Surgery 2021년 48권 2호 p.185 ~ 188
Gomes Tatiana Gigante, Agostinho Mariana, Cardoso Mariana Conceicao, da Costa Joao Nunes, Matias Julio,
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 ( Gomes Tatiana Gigante ) - Hospital of Egas Moniz Department of Plastic, Reconstructive and Maxillofacial Surgery
 ( Agostinho Mariana ) - Hospital of Egas Moniz Department of Plastic, Reconstructive and Maxillofacial Surgery
 ( Cardoso Mariana Conceicao ) - Hospital of Divino Espirito Santo of Ponta Delgada Department of Obstetrics and Gynecology
 ( da Costa Joao Nunes ) - Hospital of Egas Moniz Department of Plastic, Reconstructive and Maxillofacial Surgery
 ( Matias Julio ) - Hospital of Egas Moniz Department of Plastic, Reconstructive and Maxillofacial Surgery

Abstract


Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome can be treated through numerous surgical and nonsurgical methods. We present a surgical technique in which a neovagina was reconstructed and shaped by a vaginal expander with acellular porcine dermal matrix (XCM Biologic Tissue Matrix) and mucosal interposition using microfragments harvested from the hymen. In our case, we found this procedure to be safe and effective, resulting in satisfactory sexual function and good cosmetic results, without donor site morbidity. To our best knowledge, this tissue-engineered biomaterial has never been used for vaginal reconstruction before.

키워드

Mayer-Rokitansky-Kuster-Hauser syndrome; Vagina; Xenograft

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