Figure 9

Vaginoplasty and tracheloplasty performed through a perineal approach in Type I cervical atresia patients. (A) Coronal plane of pelvic cavity in Type I patients. (B) The lower blind end of the uterus is opened and the hematocele is discharged. (C) The uterine isthmus wound muscular layer is retracted and the mucosal wound edge is correspondingly drooped. (D) The apical wound edge of the vaginal transplanted skin flap and the wound edge of the cervical muscular layer are stitched by interrupted suture. (E) The vaginal model is implanted. (The wound edge of the cervical mucosa was outward turned. The surface of the created cervical canal was smooth).