선천성질결손증의 Baldwin씨 인공조질술의 변법 = The modified Method of Baldwin´s Operation in Congenital Abscence of Vagina

다국어 초록 (Multilingual Abstract)

The purpose of this paper is to describe a modified method of Baldwin`s operation, follow up study and review of literature in congenital absence of Vagina. In order that blood supply may not be interrupted, author made transeverse invagination against of vertical invagination of the original Baldwin`s method, with intestinal loop into the tunnel which was newly made by vaginal procedur. Vaginal vestibulum was tracted upward to help epithelizatiou, and sutured with intestinal loop which should be vaginal opening. The intestinal which was invaginated into the tunnel was sutured by chromic cat gut and 3-O silk on all sides of urethral and rectal surface of the tunnel for the purpose of preventing hernia. Author obtained successful result with use of the recent advancement of antibiotics, electrolyte balance and anesthesia, and a modified Baldwin`s method for formation of the artifical vagina as following. In follow up study on 6 months duration. 1) There were no hernia, peritonitis or sepsis. 2) New epithelization upward 3.3 cm from introtius was revealed. 3) Non significant changes were seen in Pap`s smear, vaginal smear and culture in the artificial vaginal canal during 6 months follow up after operation. 4) Discomfort or irritation due to vaginal discharge were not revealed. 5) Successful anatomic, physiologic and pschonseual responses were obtained.