Laparoscopic creation of a neovagina in Mayer-Rokitansky-Küster-Hauser syndrome by modified Vecchietti's procedure

A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky-Küster-Hauser syndrome

“…In both of our patients, a considerable vaginal length was achieved, which seems to be comparable to what has been described with other procedures (16,17). Because the vaginal incision made on top of a grasping forceps surely impacted into the rectovesical space away from the bladder, we omitted the use of cystoscopy in our 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

“…In 2000 and 2006, respectively, Fedele et al (16) and Folgueira et al (45) reported studies in larger numbers of patients. These studies sought to optimize the Vecchietti procedure in terms of dispensing with dissection but still used abdominovaginal retrovesical incision of the peritoneum and subsequent sharp tunneling of the vesicorectal space, followed by blunt abdominovaginal perforation of the vaginal dimple to hook the threads attached to the olive before drawing them back into the abdominal space and subperitoneally up to the traction device.…”

“…Fedele et al (16) reported that they further simplified the Vecchietti technique in 38 of 52 patients by passing the thread guide only once, abdominallyvaginally, through the vesicorectal space. Folgueira et al (45) also performed a modified Vecchietti procedure in 18 patients. They also did not dissect the vesicorectal space, to minimize the risk of hematoma and fistula formation.…”

Results of laparoscopic davydov technique in 47 patients with congenital absence of the vagina: laparoscopic peritoneal vaginoplasty

“…질재건수술법은 매우 다양하게 보고되었는데 시술자의 선호 도, 전문성, 장비, 환자의 상태 등에 따라 다르다. 비수술적 방법으로 는 질확장술 [11,12], 수술적 방법으로는 다양한 방법이 보고되었는데 그 유형들을 보면 피부이식 [13][14][15], 근막피부판이식(fasciocutaneous flaps) [16], 구강점막이식 [17], 양막이식 [18], 복막이식 [19][20][21][22], 직장S 상결장절편이식 [23][24][25], 방광절편이식(vesical transplants) [26], 외부 피부의 상피화 [27][28][29] Values are presented as mean ± standard deviation and range. Mean length of hospital stay (day) 12.4 ± 1.5…”