Die endoskopisch assistierte Anlage einer Neovagina - Operative Technik und Erfahrungen

Gauwerky, J. F. H.; Wallwiener, D.; Bastert, G.

doi:10.1055/s-2007-1023676

Cited by 8 publications

(8 citation statements)

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“…The threads are run around these and then placed in the holding device slit. After lowering the tensioning wheel [4] until a click is heard, the tension can be built up in intervals by turning the wheel. The great advantage of this is that both threads can be tightened simultaneously, and most important, evenly.…”

Section: Traction Devicementioning

confidence: 99%

“…In 1992 in the gynecological hospital of Heidelberg a new and successful endoscopically assisted creation of a neovagina [3,4] was developed by a variation of the Vecchietti's method. Since this time the laparotomy is not any more necessary for this kind of operation and the laparoscopic method presently is an established method.…”

Section: Introductionmentioning

confidence: 99%

“…It was necessary, because the usually used technique instruments [2,3,4] had some important weak points such as the complicated application of the traction device which needed a long time. Also the tightening of the threads intra-and postoperatively was complicated because of the construction of the traction device.…”

Section: Introductionmentioning

confidence: 99%

“…Sometimes a new operation was necessary to bring new threads again up to the abdominal wall. It was also necessary to shorten the time until the traction device could be removed, which needed in this time 1 week [7] or 2 weeks [4].…”

Section: Introductionmentioning

confidence: 99%

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Improvement of endoscopically assisted neovagina: new application instruments and traction device

et al. 2004

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Introduction: Despite the advantages of the laparoscopic-assisted technique of creation of a neovagina, the method is still time-consuming and has weak points. The main complications are the slipping off of the traction device, the ripping off of the threads, the unstable direction of the tension, and further technical complications. Technical and clinical results: Through the perfected mechanics of the traction device and the application instruments all the complications due to the old mechanical system can now be avoided. The first clinical results show that using the new modern equipment leads to a significant reduction of the operation time and of the time of tension but still having the same equally good functional and anatomical results without a higher complication rate. Conclusion: Through the new developed traction device and the perfected application instruments an operation set exists for the optimization of the laparoscopic-assisted creation of a neovagina and therefore for the therapy of a lot of cases of vaginal aplasia.

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Section: Traction Devicementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Improvement of endoscopically assisted neovagina: new application instruments and traction device

et al. 2004

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“…Es folgt eine Phase der kritischen Evaluation als Gegenbewegung, bis sich das Pendel der Entwicklung eingependelt hat und etablierte Bahnen erreicht werden. So scheint in der gynäkologischen Endoskopie [1,3,6] aktuell die Phase der kritischen Bewertung angesagt zu sein, unter dem Motto Endoskopische Verfahren oder "minimalinvasive Chirurgie in der Gynäkologie": Kein Etikettenschwindel, sondern endoskopisch-assistierte Techniken als Baustein der operativen Gynäko-logie.…”

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