Vaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomes
dc.authorid | Kemal Dolay / 0000-0001-9776-8945 | |
dc.authorscopusid | Kemal Dolay / 6602983383 | |
dc.authorwosid | Kemal Dolay / M-2032-2016 | |
dc.contributor.author | Özkan, Ömer | |
dc.contributor.author | Özkan, Özlenen | |
dc.contributor.author | Cinpolat, Anı | |
dc.contributor.author | Doğan, Nasuh Utku | |
dc.contributor.author | Bektaş, Gamze | |
dc.contributor.author | Dolay, Kemal | |
dc.contributor.author | Gürkan, Alihan | |
dc.contributor.author | Arıcı, Cumhur | |
dc.contributor.author | Doğan, Selen | |
dc.date.accessioned | 2020-08-30T20:07:51Z | |
dc.date.available | 2020-08-30T20:07:51Z | |
dc.date.issued | 2018 | |
dc.department | İstinye Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü | en_US |
dc.description.abstract | Although vaginal reconstructions with intestinal segments require particularly complex surgical procedures, this technique has become popular with respect to fairly good functional and esthetic outcomes. This study describes cases of vaginal reconstruction performed using a modified rectosigmoid colon held in an ischemic state in order to reduce secretion and denervated in order to prevent defecation problems. Vaginal reconstructions with rectosigmoid colon were performed on 43 patients. In this retrospective study, 34 patients had Mullerian agenesis, while nine had undergone male to female sex reassignment surgery in which adequate vaginal depth had not been achieved. A rectosigmoid colon with its vascular pedicle was used and left in an ischemic state. All nerve structures within the pedicle were excised intraoperatively. Follow-up period was between 12 and 60 months. Partial necrosis occurred in one patient which was reconstructed with local flap. Hematoma developed beneath the skin incision in two cases, but resolved with conservative treatment. A good esthetic outcome was achieved in all cases. Sexual function was assessed using the Female Sexual Function Index (FSFI) in 15 patients. Fourteen out of 15 patients scored above 26.5 on this scale and were determined as having no sexual dysfunction (FSFI score 26.5). In conclusion, vaginal reconstruction with denervated rectosigmoid held in an ischemic state appears to be a reasonable option among several available reconstruction techniques. | en_US |
dc.description.sponsorship | Akdeniz UniversityAkdeniz University | en_US |
dc.description.sponsorship | The authors would like to thank Harun Simsek, Polat Bicici, Seckin Aydin Savas and Kerim Unal for their scientific contributions and also Akdeniz University for their support for this paper. | en_US |
dc.identifier.citation | Ozkan, O., Ozkan, O., Cinpolat, A., Dogan, N. U., Bektas, G., Dolay, K., … Dogan, S. (2018). Vaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomes. JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, 52(4), 210–216. https://doi.org/10.1080/2000656X.2018.1444616 | en_US |
dc.identifier.doi | 10.1080/2000656X.2018.1444616 | en_US |
dc.identifier.endpage | 216 | en_US |
dc.identifier.issn | 2000-656X | en_US |
dc.identifier.issn | 2000-6764 | en_US |
dc.identifier.issue | 4 | en_US |
dc.identifier.pmid | 29519186 | en_US |
dc.identifier.scopus | 2-s2.0-85043323190 | en_US |
dc.identifier.scopusquality | Q2 | en_US |
dc.identifier.startpage | 210 | en_US |
dc.identifier.uri | https://doi.org/10.1080/2000656X.2018.1444616 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12713/843 | |
dc.identifier.volume | 52 | en_US |
dc.identifier.wos | WOS:000439894200003 | en_US |
dc.identifier.wosquality | Q4 | en_US |
dc.indekslendigikaynak | PubMed | en_US |
dc.indekslendigikaynak | Web of Science | en_US |
dc.indekslendigikaynak | Scopus | en_US |
dc.institutionauthor | Dolay, Kemal | en_US |
dc.language.iso | en | en_US |
dc.publisher | Taylor & Francis Ltd | en_US |
dc.relation.ispartof | Journal of Plastic Surgery and Hand Surgery | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.rights | info:eu-repo/semantics/closedAccess | en_US |
dc.subject | Rectosigmoid Colon | en_US |
dc.subject | Vaginal Agenesis | en_US |
dc.subject | Vaginal Reconstruction | en_US |
dc.subject | Vaginoplasty And Bowel | en_US |
dc.title | Vaginal reconstruction with the modified rectosigmoid colon: surgical technique, long-term results and sexual outcomes | en_US |
dc.type | Article | en_US |
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