LESSON 2: Procedures in Gynecological and Obstetrical Surgery

Section Ii: vaginal surgery

2-20

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2-20. CONSTRUCTION OF VAGINA

a. General. This operation involves taking a skin graft and then using it for vaginal reconstruction to repair or overcome congenital or surgical defect.

b. Operative Procedure.

(1) Skin is taken from the abdomen or anterior thighs. The donor sites are dressed in the routine manner with pressure dressings over nonadhesive gauze.

 

(2) A vaginal orifice is created by sharp dissection, and a molding is made of dental compound or plastic shaped to size. Donor skin, is sutured over the mold, and the mold is secured in the vaginal opening with sutures and pressure dressings.

 

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