선천성무질증에서 시도했던 McIndoe술식에 의한 인공 조질술1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Vaginal aplasia or agenesis is not an uncommon anomaly yet the ingenuity of gynecologists and general and plastic surgeons has been tested repeatedly in an attempt of devise the best means of correcting. This condition surgical correction for congenital absence of the vagina had its inception on 150 years ago. The ingenuty apent in the development of remedial measure represents an interesting facet of modern gynecology. Since the first reported attempt by Dupuytren, in 1817, a variety of procedures have been suggested. These include use of intestinal transplants simple reconstruction, use of continuous pressure, flap-swinging operation and use of free skin grafts. None has been universally accepted and essentially all except the inlay of a free graft have been justly abandoned. Prior to 1936, a number of attempts to use free grafts, usually in small pieces, were reported, but the failure to maintaine dilatation produced poor and results. McIndoe first recognized the fact that the contractile phase of a graft placed within a body cavity lasts for 3 to 6 months and that dilatation would be necessary to ensure success. But the McIndoe vaginoplasty has superseded all others. This operation, in with a split-thickness Thiersch skin graft is used, has become the procedure of choice becasuse of its simplicity low mortality and high degree of physiologic success. Reconstruction of congenital absence of the vagina is not a large part of any practice, but when the opportunity for such operation occurs, it become a challenge to produce the best anatomic result in the most simply way possible. Agenesis of the vagina presents the gynecologist with the unique opportunity to create an artificial organ. If his effects are successful, he may alter the course of the patient`s life. any girl who has a congenital absence of part or all of the vagina should not be denied the benifits of modern surgery. Ideally, one would like to employ the simplest and most satisfactory method to correct this anomaly. One case performed artificial construction of congenitally absent vagina with a free split-thickness skin graft, described by McIndoe, is presented with successful anatomic results.