Small Intestinal Submucosa Patch for Extensive Vaginal Endometriosis Resection

Nucélio Luiz de Barros Moreira Lemos, Lemos NL, Gil Kamergorodsky, Kamergorodsky G, Ana Luiza Antunes Faria, Faria AL, Paulo Ayroza Ribeiro, Paulo Augusto Ayroza Galvão Ribeiro, Auge AP, Antonio Pedro Flores Auge, Antônio Pedro Flores Auge, Aoki T, Tsutomu Aoki
Journal of Minimally Invasive Gynecology · 2009 · vol. 16(6) , pp. 765–767 · doi:10.1016/j.jmig.2009.07.007 · PMID:19896606 · W2027155599
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Researchers investigated the use of a small intestinal submucosa patch for resecting extensive vaginal endometriosis, assessing its efficacy and safety.

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Abstract

This case report describes use of a porcine small intestinal submucosa patch to prevent vaginal stiffness and retraction after extensive vaginal resection of an endometriosis nodule. A 32-year-old nulliparous woman was referred for surgical treatment of a large rectovaginal nodule that extended from the vaginal to the rectal mucosa. Surgical treatment was performed in 2 steps. Initially, a laparoscopic rectal resection was performed without opening the vagina to reduce the risk of fistula formation; 6 months later, the patient underwent a laparoscopic second-look combined with the vaginal approach to remove remaining disease. A small intestinal submucosa patch was successfully used to prevent vaginal shortening.

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Condition tags

endometriosis

MeSH descriptors

Endometriosis Intestinal Mucosa Tissue Scaffolds Transplantation, Heterologous Transplantation, Heterotopic Vaginal Diseases Adult Animals Endometriosis Female Humans Intestinal Mucosa Intestine, Small Intestine, Small Sus scrofa Transplantation, Heterotopic Vaginal Diseases

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