3D printing technique applied in vaginoplasty: A case report
Background: We present the first case report of the treatment of congenital vaginal atresia by 3D-printed patient-specific vaginal scaffold from China. Case presentation: A 17-year-old female patient was referred to our department for treatment of congenital vaginal atresia and complications arising...
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Elsevier
2022-12-01
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Series: | Heliyon |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844022031565 |
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author | Guo-wu Yin Tao Han Jia-he Liang Jiang-pu Yi Jing-jing Wang Zhao-wei Gao Jing-chun Ren Qian Fu Yun Li Ling-li Jin Rong Fei Tie-sheng Cao Xiao-ming Zhu |
author_facet | Guo-wu Yin Tao Han Jia-he Liang Jiang-pu Yi Jing-jing Wang Zhao-wei Gao Jing-chun Ren Qian Fu Yun Li Ling-li Jin Rong Fei Tie-sheng Cao Xiao-ming Zhu |
author_sort | Guo-wu Yin |
collection | DOAJ |
description | Background: We present the first case report of the treatment of congenital vaginal atresia by 3D-printed patient-specific vaginal scaffold from China. Case presentation: A 17-year-old female patient was referred to our department for treatment of congenital vaginal atresia and complications arising from previous failed operations. Pelvic examination was conducted to understand the morphological characteristics and severity of stenosis, and based on which we designed our prototypes of vaginal scaffold using software UG NX10.0. We finally obtained our patient-specific mold, which was 50 mm in length, 28 mm in diameter, 2 mm of thickness with a whole weight of 7.6 g, and it was made of polycaprolactone. After removing scar tissues caused by vaginal stenosis, an 8 cm long artificial tunnel was created, and then the polycaprolactone (PCL) vaginal mold was placed and sutured. The patient had no discomfort after surgery and was discharged 3 days after the surgery. Follow-up for 1 year after surgery, through hysteroscopy and colposcopy, it was found that the cervix was smooth, the vaginal wall was covered with stratified squamous epithelium, and the vaginal wall was soft and lubricated, which was close to a normal vagina. The incompletely absorbed mold was taken out one year after the operation. Hysteroscopy and colposcopy were performed one year and two years after the mold was taken out. The vagina was unobstructed and the length was about 12 cm. The appearance of the vaginal wrinkles was normal. The patient's quality of sexual life was good. Conclusion: Our team tried to treat congenital vaginal atresia by 3D-printed patient-specific vaginal scaffold, which can effectively reduce patient complications and reduce patient pain. Through long-term follow-up, we found that this technique has achieved favorable results and improved the patient's quality of sexual life. |
first_indexed | 2024-04-11T00:52:01Z |
format | Article |
id | doaj.art-3b1be8c997404ec5b0dca2108853a554 |
institution | Directory Open Access Journal |
issn | 2405-8440 |
language | English |
last_indexed | 2024-04-11T00:52:01Z |
publishDate | 2022-12-01 |
publisher | Elsevier |
record_format | Article |
series | Heliyon |
spelling | doaj.art-3b1be8c997404ec5b0dca2108853a5542023-01-05T08:37:13ZengElsevierHeliyon2405-84402022-12-01812e118683D printing technique applied in vaginoplasty: A case reportGuo-wu Yin0Tao Han1Jia-he Liang2Jiang-pu Yi3Jing-jing Wang4Zhao-wei Gao5Jing-chun Ren6Qian Fu7Yun Li8Ling-li Jin9Rong Fei10Tie-sheng Cao11Xiao-ming Zhu12Department of Obstetrics and Gynecology, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaDepartment of Orthopedics, Hainan Branch of PLA General Hospital, Sanya, ChinaDepartment of Ultrasound, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Ultrasound, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Obstetrics and Gynecology, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Clinical Laboratory, Tangdu Hospital, Air Force Medical University, Xi'an, ChinaDepartment of Obstetrics and Gynecology, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaDepartment of Obstetrics and Gynecology, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaDepartment of Obstetrics and Gynecology, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaDepartment of Anesthesiology, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaOperating Room, Qujiang Obstetrics and Gynecology Hospital, Xi'an, ChinaDepartment of Ultrasound, Tangdu Hospital, Air Force Medical University, Xi'an, China; Corresponding author.Department of Obstetrics and Gynecology, Hainan Branch of PLA General Hospital, Sanya, China; Corresponding author.Background: We present the first case report of the treatment of congenital vaginal atresia by 3D-printed patient-specific vaginal scaffold from China. Case presentation: A 17-year-old female patient was referred to our department for treatment of congenital vaginal atresia and complications arising from previous failed operations. Pelvic examination was conducted to understand the morphological characteristics and severity of stenosis, and based on which we designed our prototypes of vaginal scaffold using software UG NX10.0. We finally obtained our patient-specific mold, which was 50 mm in length, 28 mm in diameter, 2 mm of thickness with a whole weight of 7.6 g, and it was made of polycaprolactone. After removing scar tissues caused by vaginal stenosis, an 8 cm long artificial tunnel was created, and then the polycaprolactone (PCL) vaginal mold was placed and sutured. The patient had no discomfort after surgery and was discharged 3 days after the surgery. Follow-up for 1 year after surgery, through hysteroscopy and colposcopy, it was found that the cervix was smooth, the vaginal wall was covered with stratified squamous epithelium, and the vaginal wall was soft and lubricated, which was close to a normal vagina. The incompletely absorbed mold was taken out one year after the operation. Hysteroscopy and colposcopy were performed one year and two years after the mold was taken out. The vagina was unobstructed and the length was about 12 cm. The appearance of the vaginal wrinkles was normal. The patient's quality of sexual life was good. Conclusion: Our team tried to treat congenital vaginal atresia by 3D-printed patient-specific vaginal scaffold, which can effectively reduce patient complications and reduce patient pain. Through long-term follow-up, we found that this technique has achieved favorable results and improved the patient's quality of sexual life.http://www.sciencedirect.com/science/article/pii/S2405844022031565Vaginoplasty3D printingVaginal moldPolycaprolactone |
spellingShingle | Guo-wu Yin Tao Han Jia-he Liang Jiang-pu Yi Jing-jing Wang Zhao-wei Gao Jing-chun Ren Qian Fu Yun Li Ling-li Jin Rong Fei Tie-sheng Cao Xiao-ming Zhu 3D printing technique applied in vaginoplasty: A case report Heliyon Vaginoplasty 3D printing Vaginal mold Polycaprolactone |
title | 3D printing technique applied in vaginoplasty: A case report |
title_full | 3D printing technique applied in vaginoplasty: A case report |
title_fullStr | 3D printing technique applied in vaginoplasty: A case report |
title_full_unstemmed | 3D printing technique applied in vaginoplasty: A case report |
title_short | 3D printing technique applied in vaginoplasty: A case report |
title_sort | 3d printing technique applied in vaginoplasty a case report |
topic | Vaginoplasty 3D printing Vaginal mold Polycaprolactone |
url | http://www.sciencedirect.com/science/article/pii/S2405844022031565 |
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