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Vaginalrekonstruktion nach Trauma, onkologischer Therapie und bei angeborenen Fehlbildungen

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Intimchirurgie

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Zusammenfassung

Nach einer kurzen Zusammenfassung der wesentlichen Grundlagen der Embryologie, Anatomie und Physiologie der Vagina und einer kurzen Erläuterung der wesentlichen Fehlentwicklungen werden die pathologischen Einflussfaktoren wie Traumen, Verletzungen oder mögliche negative Folgen medizinischer Behandlungen erläutert. Neben konservativen Therapieansätzen werden die Möglichkeiten der Bildung einer Neovagina-Anlage durch unterschiedliche Behandlungsprinzipien erläutert und illustriert. Im Einzelnen werden Methoden der Selbstdehnung und operative Methoden unterteilt nach unterschiedlichen Techniken (Dissektionsmethoden, Dissektionsmethoden mit Auskleiden des Scheidenrohres durch Peritoneum, Traktionsmethoden, Interpositionsmethoden mit Darm und Lappenplastiken) dargestellt. Als Abschluss stellen die Autoren die Kriterien dar, die an ihrer Institution zur Auswahl des individuellen Therapieverfahrens angewendet werden.

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Authors and Affiliations

  1. Facharzt für Gynäkologie und Geburtshilfe, Universitätsklinikum, Klinik für Frauenheilkunde und Geburtshilfe, Düsseldorf, Deutschland

    Dr. Jürgen Hoffmann

  2. Fachärztin für Gynäkologie und Geburtshilfe, Universitätsklinikum, Klinik für Frauenheilkunde und Geburtshilfe, Düsseldorf, Deutschland

    Prof. Dr. Tanja Fehm

Authors
  1. Dr. Jürgen Hoffmann
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  2. Prof. Dr. Tanja Fehm
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Correspondence to Jürgen Hoffmann .

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Editors and Affiliations

  1. Universität Bremen, Centre for Biomolecular Interactions Bremen, FB2, Fachärztin für Plastische und Ästhetische Chirurgie, Handchirurgie, Head of Wound Repair Unit, Bremen, Bremen, Germany

    Ursula Mirastschijski

  2. Fachärztin für Plastische und Ästhetische Chirurgie, Handchirurgie, Fachärztin für Chirurgie, Klinik für Plastische-, Hand- und Wiederherstellungschirurgie, AMEOS Klinikum Mitte Bremerhaven, Bremerhaven, Bremen, Germany

    Eugenia Remmel

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Hoffmann, J., Fehm, T. (2019). Vaginalrekonstruktion nach Trauma, onkologischer Therapie und bei angeborenen Fehlbildungen. In: Mirastschijski, U., Remmel, E. (eds) Intimchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-57392-1_13

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  • DOI: https://doi.org/10.1007/978-3-662-57392-1_13

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-57391-4

  • Online ISBN: 978-3-662-57392-1

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