The use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina

Objective To study the effect of the use of peritoneum tor laparoscopic vaginoplasty in patients with congenital absence of vagina.Methods 9 patients with congenital absence of vagina were perfomed peritoneum for laparoscopic vaginoplasty from Oct ,2003 to Jan ,2009.Explore the pelvic by laparoscopic vaginoplasty,free the pelvic peritoneum,detach artificial vagina,pull the pelvic peritoneum from the artificial vagina,suture to form a vagina.Results The operation time was 120 ～ 170 minutes.Blood loss of operation was 50 ～200 ml.All patients had gas discharged 2 days after operation.Depth pf vagina made were 10 ～ 20 cm.3 years after operation,the vagina made all have a smoothy and tendy mucous membrane that their function or shape reached physiological goal Patients or their spouses were satisfied to their sex activity.Conclusion Use of peritoneum for laparoscopic vaginoplasty in patients with congenital absence of vagina has the advantages of short operation time,rapid recovery and no impact of physiological organ.Vagina membrane made by peritonem were smoothy and alike to normal vagina membrane.The use of peritoneum for laparoscopic vaginoplasty is an good operation way in patients with congenital absence of vagina. Key words: Congenital absence of vagina; Peritoneum;  Laparoscopy