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- Double Pedicle Artery Rotation Sigmoid Vaginoplasty for Vaginal Aplasia Management
- Adeodatus Yuda Handaya, Nurcahya Setyawan, Nuring Pangastuti, Marijata , Agus Barmawi, Imam Sofii, Muhamad Nurhadi Rahman, Ida Ayu Setyawati, Hamzah Muhammad Hafiq
- Ann Coloproctol. 2020;36(3):198-203. Published online January 20, 2020
- DOI: https://doi.org/10.3393/ac.2018.10.30
- 9,479 View
- 182 Download
- 1 Web of Science
- 1 Citations
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Abstract
PDF - Sigmoid vaginoplasty has been popular for neovagina reconstruction in vaginal aplasia. The most common surgical complication was vaginal stenosis caused by inadequate vascularization and tension because of graft length. Therefore, ischemia ensued and disrupted wound healing. The selection of double pedicle artery rotation sigmoid vaginoplasty is expected to reduce this problem. Five patients from April to December 2016 were diagnosed with vaginal aplasia; 4 had history of neovagina stenosis. These patients underwent sigmoid vaginoplasty with double pedicle artery rotation. No complications occurred during or after the procedure. Assessment postsurgery was conducted at 1 year. These results suggest that double pedicle artery rotation sigmoid vaginoplasty is a safe and acceptable technique for management of vaginal aplasia. The procedure decreased tension inside vascular pedicles as a result of maintaining abundant vascularization supply. Consequently, this procedure could avert graft necrosis, leakage, and severe stenosis. All of the patients exhibited regular menstrual cycle and satisfactory sexual activity. The outcomes were excellent with remarkable anatomical and functional results.
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- Defining and measuring acceptability of surgical interventions: A scoping review
Sophie James, Jennie Lister, Joy Adamson, Catherine Hewitt, Antonina Yakimova, Andrew Mott, Helen Fulbright, Catriona McDaid, Federico Romano
PLOS One.2025; 20(6): e0323738. CrossRef
- Defining and measuring acceptability of surgical interventions: A scoping review
- Side-to-Side Ileosigmoidostomy Shunting Surgery for the Treatment of Elderly Patients With Chronic Constipation
- Yuda Handaya, Agung Maryanto, Marijata
- Ann Coloproctol. 2017;33(6):249-252. Published online December 31, 2017
- DOI: https://doi.org/10.3393/ac.2017.33.6.249
- 6,877 View
- 56 Download
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Abstract
PDF
Constipation is a digestive disorder that often occurs in the elderly; its main cause is bowel motility disorder. Treatments for patients with chronic constipation include pharmacotherapy, diet changes, and surgery if other therapies do not offer satisfactory results. We describe 4 patients, 2 men (70 and 65 years old) and 2 women (75 and 66 years old), who were diagnosed with chronic constipation (slow transit constipation) and treated with conventional therapy, but did not improve. For that reason, side-to-side ileosigmoidostomy shunting surgery was performed. After the surgery, the average time until normal defecation was 16 days, and the defecation frequency was 3 to 4 times a day with no need for a laxative. No patient had a recurrence of constipation. Based on these results, side-to-side ileosigmoidostomy shunting surgery is expected to restore digestive function and can be considered as an alternative therapy for elderly patients with chronic constipation.
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