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Chapter-75 Novel Ways of Creating Vagina

BOOK TITLE: Principles and Practice of Assisted Reproductive Technology

Author
1. Mhatre Jyoti
2. Mhatre Pravin
ISBN
9789352705030
DOI
10.5005/jp/books/18020_76
Edition
2/e
Publishing Year
2019
Pages
18
Author Affiliations
1. Kedar Hospital, Mumbai, Maharashtra, India
2. Seth GS Medical College, Mumbai; N Wadia, Mumbai, Maharashtra, India; Mat. Hospital, Mumbai, Maharashtra, India, GS Medical College, KEM Hospital, N Wadia Hospital, Mumbai, Maharashtra, India, Seth GS Medical College, KEM and Wadia Hospital, Mumbai, Maharashtra, India
Chapter keywords
Müllerian duct, peritoneum, neovagina, neovaginal lining, immunohistochemistry, immunohistochemistry test, integrated optical density, octamer-binding transcription factor

Abstract

This chapter aims to present a brief discussion on development of müllerian duct, clinical presentation, use of peritoneum in neovaginal lining, research hypothesis, and immunohistochemistry. The development from the müllerian duct is one of the most ill-understood topics in gynecology and remains an enigma. The fusion of the two müllerian ducts with subsequent canalization and hypertrophy leads to the development of adult female genital tract. Many surgical techniques like use of colon, intestine, and skin have been described for the creation of neovagina; however, none of them are successful in developing normal vagina. Immunohistochemistry tests (IHC) were performed on peritoneal biopsy samples and the presence of progenitor cells was demonstrated by OCT4 and SOX2 as markers. The immunostained images have been overlaid with the differential interference contrast image to show the localization of OCT4.

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