Arch Plast Surg.  2021 Mar;48(2):185-188. 10.5999/aps.2020.00556.

XCM Biologic Tissue Matrix xenograft and autologous micromucosa graft for vaginal reconstruction in Mayer-Rokitansky-Küster-Hauser syndrome

Affiliations
  • 1Department of Plastic, Reconstructive and Maxillofacial Surgery, Hospital of Egas Moniz, CHLO, Lisbon, Portugal
  • 2Department of Obstetrics and Gynecology, Hospital of Divino Espírito Santo of Ponta Delgada, EPER, Ponta Delgada, Portugal

Abstract

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome can be treated through numerous surgical and nonsurgical methods. We present a surgical technique in which a neovagina was reconstructed and shaped by a vaginal expander with acellular porcine dermal matrix (XCM Biologic Tissue Matrix) and mucosal interposition using microfragments harvested from the hymen. In our case, we found this procedure to be safe and effective, resulting in satisfactory sexual function and good cosmetic results, without donor site morbidity. To our best knowledge, this tissue-engineered biomaterial has never been used for vaginal reconstruction before.

Keyword

Mayer-Rokitansky-Küster-Hauser syndrome / Vagina / Xenograft
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