Laparoscopic-assisted creation of a vagina

Ikuta, Kenji; Iida, Tadashi; Okada, Hideki; Murakami, Isamu; Hanada, Seiji; Yagami, Y.

doi:10.1016/s1074-3804(96)80109-5

Cited by 8 publications

(3 citation statements)

References 4 publications

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“…However, this standard approach (9)(10)(11)(12)(13)(14)(15)(16)(17)(18), until recently, still involved timeconsuming abdominovaginal dissection or tunneling of the vesicorectal space, which caused considerable surgical trauma as a result of extensive dissection and coagulation, associated with the risk of organ damage in the neighborhood of the surgically created tunnel and the risk of hematoma, fistula formation, scar formation with stenosis, dehiscence of the neovagina, and destruction of the autonomic visceral nerve network. This complex procedure was performed under the assumption that traction threads could thus safely be introduced into the abdomen as the principal step in the Vecchietti method.…”

mentioning

confidence: 99%

Neovagina creation in vaginal agenesis: development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients

Brucker

Gegusch

Zubke

et al. 2008

Fertility and Sterility

126

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mentioning

confidence: 99%

Neovagina creation in vaginal agenesis: development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients

Brucker

Gegusch

Zubke

et al. 2008

Fertility and Sterility

126

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“…4,11 Two patients who underwent the laparoscopic Davydov technique had stenosis and granulation in the neovagina. The reason why two laparoscopic cases were followed by stenoses and granulation in the neovagina is apparently that a long period was needed until the neovagina was covered with stratified epithelium.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopically Assisted Colpopoiesis Using the Inverted Sigmoid Colon Graft in a Patient with Mayer-Rokitansky-Küster-Hauser Syndrome

Inazu¹,

Nozaki²,

Egami³

et al. 2001

Journal of Gynecologic Surgery

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Mayer-Rokitansky-Küster-Hauser syndrome is a müllerian duct agenesis and occurs oncein 4,000 to 5,000 births. Approximately one third of cases are associated with renal anomalies, such as ectopic kidney, renal agenesis, horseshoe kidney, pelvic kidney, and bifid ureter or duplication. The typical clinical finding is partial or complete agenesis of the uterus, with an absence or hypoplasty of the vagina. Several methods have been proposed to compensate for congenital absence of the vagina in Mayer-Rokitansky-Küster-Hauser syndrome. 1,2 The authors have adopted a modification of the Ruge technique using the sigmoid colon (RugeHata method). 3 In the Ruge-Hata method, an inverted graft is sutured to the vaginal canal because of graft vascularization. Recently, Davydov's technique, 4 in which the peritoneum is pulled and sutured to the new vaginal cavity, has been introduced under laparoscopy. 5 In this case, the authors tried to perform minimally invasive surgery using laparoscopy for the purpose of satisfactory vaginal function and minimal complication. 6-8 (J GYNECOL SURG 17:97, 2001) CASE REPORTA 17-YEAR-OLD WOMAN WAS REFERRED FOR PRIMARY AMENORRHEA. She had normal secondary sexual characteristics in appearance but showed the absence of a vagina. Four years later, the patient desired the creation of a neovagina. She had normal external genitalia and pubic and axillary hair but no vagina, only a retrohymenal dimple approximately 3 cm in depth. We found a fibrous remnant tissue in the area of the uterus by rectal examination. Both ultrasound and magnetic resonance imaging showed uterine aplasia and bilateral ovaries with normal appearance. Chromosomal analysis showed a normal karyotype of 46XX. Drip infusion pyelography revealed a normal urinary tract. Radiographs and magnetic resonance imaging did not show skeletal abnormalities. At this point, Mayer-Rokitansky-Küster-Hauser syndrome was diagnosed. We made sure there were no abnormal lesions at the sigmoid colon by colonofiberscopy and barium enema. Angiography of the inferior mesenteric artery was performed to visualize the feeding arteries of the sigmoid colon. We tried to create a neovagina during laparoscopy by a modification of the Ruge technique. In this case, we intended to perform minimally invasive surgery using the laparoscopic technique for the purpose of satisfactory vaginal function and minimal complication.

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“…Active manipulation technique (Frank) failed because of psychological reasons. We therefore considered another surgical intervention, and this time a laparoscopic assisted Davydov operation (9).…”

Section: Case Reportmentioning

confidence: 99%

Case Reports

Chapman

1998

Acta Obstet Gynecol Scand

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Laparoscopic-assisted creation of a vagina

Cited by 8 publications

References 4 publications

Neovagina creation in vaginal agenesis: development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients

Neovagina creation in vaginal agenesis: development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients

Laparoscopically Assisted Colpopoiesis Using the Inverted Sigmoid Colon Graft in a Patient with Mayer-Rokitansky-Küster-Hauser Syndrome

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