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March 27, 1948


Author Affiliations

Rochester, Minn.

From the Division of Surgery, Mayo Clinic.

JAMA. 1948;136(13):861-866. doi:10.1001/jama.1948.02890300011004

The surgical treatment of congenital absence of the vagina constitutes a most interesting chapter in gynecology. Like the treatment of other anomalies, it has gone through many changes, with successes and failures, and ultimately a method of correction evolves which becomes simple, easy of execution and attended by low mortality and morbidity rates, and which produces a high percentage of good results. There always will be some poor results and even failures in the management of any congenital anomaly by virtue of the defective quality of the tissues with which the surgeon must work.

In this communication I wish to report a group of 76 cases of congenital absence of the vagina, to describe a surgical procedure which I think is adequate and to disclose the results. The patients were seen and treated during the decade ending Dec. 31, 1946. Eight more have been treated during the present year but

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