During the operation. Images in this article are . Photo provided by Shanghai First Maternity and Infant Health Hospital .
Recently, a reporter from . The Paper (www.thepaper.cn) learned from Shanghai First Maternity and Infant Health Hospital that Professor Wan Xiaoping, the leader of the gynecology department of the hospital, and his team recently successfully performed . Da Vinci robot sigmoid colon vaginal surgery for a congenital absent patient (commonly known as "Shim Girl"). After many days of observation after surgery, the patient recovered well.
30-year-old Xiaoyun (pseudonym) has been different from other girls since she was a child. At the age of 13, she had not had her period yet, and was diagnosed with congenital uterine development deformity during the hospital examination. At the age of 20, she went to the local hospital for examination again. The ultrasound prompted the "primordial uterus". Theprimordial uterus, also known as the trace uterus, is caused by congenital dysplasia of the female reproductive system. This uterus is extremely small, mostly without uterine cavity, combined with no vagina or menstruation.
At the beginning, Xiaoyun felt that except for not having menstrual periods, she was not much different from other girls. But as she grew older, she felt more and more that this hidden disease had seriously affected her life and became an unspeakable pain buried deep in her heart.
0,000 Xiaoping controls the Da Vinci robot
In September 2022, accompanied by his mother, Xiaoyun came to Shanghai First Maternity and Infant Health Hospital for treatment, and the outpatient clinic was admitted to the hospital with "MRKH syndrome" (congenital uterine and vaginal loss). After discussion, Wan Xiaoping and her team decided to use the Da Vinci robot for sigmoid vaginal surgery, and carefully designed a surgical plan for her.
0,000 Xiaoping revealed that the incidence rate of congenital non-vaginal patients in the population is about 1/5000-1/4000, but my country's population base is large, and the overall number of patients is not large. They not only have to endure the secrets deep in their bodies, but also have to endure more pain from the psychological level. The ability to live a normal sexual life through surgery can greatly improve the dual anxiety of physiology and psychology.
"The reason why sigmoid colon was chosen for vaginal substitution is because it meets almost all the ideal conditions for vaginal formation and has secretion and lubrication functions." Wan Xiaoping said.
html At 8 am on September 20, the operation officially began. Professor Wan Xiaoping and his team first performed artificial "acupoint creation". Then the Da Vinci robot came on stage. It stretched out three "arms" and penetrated into Xiaoyun's pelvis through several small holes. The three-dimensional imaging system immediately magnified the situation in its pelvis by dozens of times and presented it on the screen next to the operating table. Wan Xiaoping, sitting on the operating table, quickly operated the remote control lever, started to free the intestinal section, and performed anastomosis. Then, the free intestinal segment is placed into the artificial acupoint and sutured. Through the operation, Xiaoyun has a body like a normal woman and has a good recovery after the operation.Shanghai First Maternity and Infant Health Hospital revealed that in the past 20 years, Wan Xiaoping and his team have completed 143 sigmoid vaginal surgery under laparoscopy, and designed a unique external cessation and anastomosis technology for the free intestine segment at the abdominal wall, which has achieved the first time in the world to complete the operation without the use of intraluminal cutting closures and curved intraluminal staplers.
0,000 Xiaoping also pointed out that the difficulty of identifying sigmoid colon blood vessels during surgery has become an important reason hindering the promotion of sigmoid colon vaginal surgery in clinical practice. "In the past, identifying intestinal blood vessels and observing intestinal blood vessels was crucial to the success of the surgery, so the operation is relatively complex. It is generally believed that it is one of the most difficult surgeries in ordinary gynecological plastic surgery. The new generation of Da Vinci surgical robot can just solve this problem. The Da Vinci surgical robot not only has the minimally invasive characteristics of laparoscopic surgery, but also can develop in real time during surgery, allowing doctors to accurately evaluate the perfusion of sigmoid colon and its blood vessels, overcoming the difficulties of truncating the intestinal duct and retaining the blood vessels during surgery, and further ensuring the safety and effectiveness of the surgery."
