akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2025.614akusherstvo-2549Research ArticleCLINICAL CASEКЛИНИЧЕСКИЙ СЛУЧАЙTreatment of secondary vaginal atresia with the Martius-Symmonds flapЛечение вторичной атрезии влагалища с помощью лоскута Martius-Symmondshttps://orcid.org/0000-0003-2645-1662ЯщукА. Г.YashchukA. G.

Ящук Альфия Галимовна - д.м.н., проф.

450008 Уфа, ул. Ленина, д. 3

Scopus Author ID 57199647955

Alfiya G. Yashchuk - MD, Dr Sci Med, Prof.

3 Lenin Str., Ufa 450008

Scopus Author ID 57199647955

https://orcid.org/0000-0003-0855-7754ГубановаЕ. Г.GubanovaE. G.

Губанова Елена Геннадьевна.

450008 Уфа, ул. Ленина, д. 3

Elena G. Gubanova - MD.

3 Lenin Str., Ufa 450008

ekaz4ntseva@yandex.ruhttps://orcid.org/0000-0001-5520-5845МусинИ. И.MusinI. I.

Мусин Ильнур Ирекович - д.м.н.

450008 Уфа, ул. Ленина, д. 3

Scopus Author ID 57199649436

Ilnur I. Musin - MD, Dr Sci Med.

3 Lenin Str., Ufa 450008

Scopus Author ID 57199649436

https://orcid.org/0000-0002-1641-9952БатталоваГ. Ю.BattalovaG. Yu.

Батталова Гюзель Юрьевна - д.м.н., проф.

450008 Уфа, ул. Ленина, д. 3

Scopus Author ID 57724688300

Guzel Yu. Battalova - MD, Dr Sci Med, Prof.

3 Lenin Str., Ufa 450008

Scopus Author ID 57724688300

https://orcid.org/0000-0002-4657-6625УрманцевМ. Ф.UrmantsevM. F.

Урманцев Марат Фаязович - к.м.н.

450008 Уфа, ул. Ленина, д. 3

Scopus Author ID 56149491500

Marat F. Urmantsev - MD, PhD.

3 Lenin Str., Ufa 450008

Scopus Author ID 56149491500

ФГБОУ ВО «Башкирский государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияBashkir State Medical University, Ministry of Health of the Russian FederationRussian Federation202510092025194608613Copyright © Yashchuk A.G., Gubanova E.G., Musin I.I., Battalova G.Y., Urmantsev M.F., 20252025Ящук А.Г., Губанова Е.Г., Мусин И.И., Батталова Г.Ю., Урманцев М.Ф.Yashchuk A.G., Gubanova E.G., Musin I.I., Battalova G.Y., Urmantsev M.F.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/2549

Secondary vagina atresia is a quite rare pathology, and due to its low incidence, the lack of standardized recommendations for the management of this group of patients, as well as the insufficient number of relevant randomized trials, the analysis of individual clinical cases is of special relevance. An analysis of the clinical case of a female patient with acquired vaginal atresia underwent surgical treatment – vaginal reconstruction with a Martius-Symmonds flap is presented. In dynamics, after the surgical intervention, good healing and autograft adaptation were noted, without necrosis and ulceration in the area of Martius-Symmonds flap transplantation, with neovagina sized up to 6.5 cm long and 3 to 4 cm wide in different localization. Due to the lack of standardized recommendations for management of patients with acquired vaginal atresia, it is necessary to continue examining and discussing such cases in clinical practice.

Вторичная атрезия влагалища является достаточно редкой патологией. По причине небольшой частоты распространения представленной патологии, отсутствия стандартизированных рекомендаций по ведению данной группы пациенток, а также недостаточного количества рандомизированных исследований по данной проблеме особую актуальность приобретает разбор отдельных клинических случаев. Приводится разбор клинического случая пациентки с приобретенной атрезией влагалища, которой проведено оперативное лечение – реконструкция влагалища лоскутом Martius-Symmonds. В динамике после хирургического вмешательства отмечена хорошая заживляемость и адаптация аутотрансплантанта, некроза и изъязвления в области пересадки лоскута Martius-Symmonds не отмечалось, созданное неовлагалище имеет длину до 6,5 см, ширину от 3 до 4 см в различной локализации. Ввиду отсутствия стандартизированных рекомендаций ведения пациенток с приобретенной атрезией влагалища необходимо продолжать изучение и обсуждение подобных случаев в клинической практике.

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The authors declare that there are no conflicts of interest present.