선천적 부신피질증식증에 의한 여성가성반음양에서 Bilateral labioscrotal flap(M-shaped flap)을 이용한 질성형설 1례
An Experience of Vaginolasty with Bilateral Labioscrotal Flap(M-shaped flap) for Female Pseudohermaphroditism in Congenital Adrenal Hyperplasia
정헌영, 서기석, 김종성, 진국범,
소속 상세정보
정헌영 ( )
원광대학교
서기석 ( )
원광대학교
김종성 ( )
원광대학교
진국범 ( )
원광대학교
KMID : 0358319960370070815
Abstract
The most common etiology for remale pseudohermaphroditism is congenital addrenal hyperplasia, which asccounts for more than 60 percent of children with ambiguous genitalia, and is treated with cortisol replacement and surgical correction of
ambiguous
genitalia. Flap vaginoplasty, the inverted U-Shaped type has been applied worldwide to the patient with low vaginal entry. Thr most frequnt complication of the operation is contraction of the new vaginal introitus asd a result of ischemic and
fibrotic
changes in the overlapping surture line between the flap and posterior vaginal wall. Maintenance of a gold blood supply for the flap and tension free anastomosis should always be kept in mind to avoid this complication.
We experienced a vaginoplasty with labioscrotal flap instead of the inverted U-shaped flap and achieved a good result in a 14-year-old girl with low vaginal entry due to congenital adrenal hyperplasia. The labioscrotal flap seems to be more
suitable
than inverted U-shaped flap for vatginoplasty because the labioscrotal skin is more elastic and more easily elongated than the perineal skin.
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