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First-Line Therapy for Vaginal Atresia. Conservative Treatment vs Surgical Techniques: Quandaries Looking at Numbers
Journal of Pediatric and Adolescent Gynecology ( IF 1.7 ) Pub Date : 2022-07-13 , DOI: 10.1016/j.jpag.2022.01.011
Maria Chiara Lucchetti 1 , Alice Tassi 2
Affiliation  

Although it has been clearly stated that vaginal dilation must be considered the first-line treatment for clinical conditions characterized by an absent or hypoplastic vagina, mainly Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, a great number of scientific papers on surgical vaginal reconstructions are reported every year. This wide variety of surgical techniques (more than 10) are recognized and performed worldwide, making it difficult to compare results and define an evidence-based approach. Standardized treatment should be considered even more important in the pediatric and adolescent population for the implications offered by the uterus transplantation scenario.



中文翻译:

阴道闭锁的一线治疗。保守治疗与手术技术:看数字的困惑

尽管已经明确指出,阴道扩张必须被视为以阴道缺失或发育不全为特征的临床病症的一线治疗,主要是 Mayer-Rokitansky-Küster-Hauser (MRKH) 综合征,但大量关于外科阴道手术的科学论文每年都会报告重建情况。这种广泛的手术技术(超过 10 种)在世界范围内得到认可和实施,因此难以比较结果和定义基于证据的方法。在儿童和青少年人群中,标准化治疗对于子宫移植方案的影响更为重要。

更新日期:2022-07-14
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