Le Davydov cœlioscopique ou transposition cœlioscopique du colpopoiesis péritonéal pelvien décrit par Davydov pour le traitement des agénésies congénitales du vagin : la technique et son évolution

Dargent, D; Marchiolè, Pierangelo; Giannesi, A.; Benchaïb, Mehdi; Chevret‐Méasson, Marie; Mathevet, Patrice

doi:10.1016/j.gyobfe.2004.10.012

Cited by 31 publications

(3 citation statements)

References 22 publications

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“…Our mean operation time was 48 min whereas conventional grafting techniques required 60–120 min. 13 24 30 31 In this respect, the present study has concluded that our technique of neovaginoplasty using labial and vestibular advancement flap is safe, minimally invasive and effective compared to other techniques. We consider that the three following steps are the key to maintaining the vaginal length and width initially created at the time of surgery throughout follow up: 1) sufficient dissection of the vaginal space, 2) keeping the syringe so that whatever discharge that is produced from the raw surface of newly created vagina can be drained through the hole and lowering the chance of infection, 3) application of antiseptic intravaginal tablet and estriol suppository (Ovestin ® ) to reduce infection and promote epithelialization.…”

Section: Discussionsupporting

confidence: 50%

“…The operation time usually depends on the type of procedure. The operation time have been reported to be around 120 min in laparoscopic Davydov procedure, 13 30 average 72,2 min in one-stage transvestibular vaginoplasty with pelvic peritoneum, 24 ranged from 45 min to 80 min in Vecchietti’s operation. 31 Compared with these procedures, our procedure could be performed in less than 60 min with no significant intraoperative blood loss or postoperative vaginal bleeding.…”

Section: Discussionmentioning

confidence: 99%

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Simple neovaginoplasty using spontaneous regeneration ability of labial and vestibular flap in patients with Müllerian agenesis

Moon

Koo

Lee

et al. 2017

Gynecology and Minimally Invasive Therapy

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Objectives:This study is aimed to introduce a simple neovaginoplasty procedure without significant complications using the spontaneous regenerative ability of labial and vestibular advancement flaps in patients with Müllerian agenesis.Materials and methods:Prospectively collected data of 5 patients with vaginal agenesis due to Müllerian duct abnormality who underwent neovaginoplasty using labial and vestibular advancement flaps were retrospectively reviewed. Operative details, perioperative outcome, complications, length and width of the neovagina, and the postoperative sexual activity were evaluated.Results:The mean operation time was 48 min (range 30–60 min) and the duration of follow-up ranged from 7 to 50 months. The mean length of the neovagina was 9.6 cm × 3.5 cm and 10.8 cm × 3.5 cm at hospital discharge and at final follow-up, respectively. No significant complications occurred during or after surgery. Epithelialization was completed by 8–20 months and the time to first sexual intercourse ranged from 3 weeks to 27 months and none of the patients experienced any intercourse-related difficulties.Conclusion:Our neovaginoplasty technique using labial and vestibular advancement flap is simple, safe, minimally invasive and effective while avoiding the morbidity associated with other grafting techniques.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 99%

Simple neovaginoplasty using spontaneous regeneration ability of labial and vestibular flap in patients with Müllerian agenesis

Moon

Koo

Lee

et al. 2017

Gynecology and Minimally Invasive Therapy

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“…Postoperative vaginoscopy and vaginal biopsy results of the neovagina have shown iodine-positive multiple-layer vaginal epithelium in the formerly single-layer epithelial tissue of the vaginal apex. Dargent et al 4 have published the surgical outcomes of 28 MRKH syndromes. They have concluded that two perioperative and two postoperative complications have occurred.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Neovagina Creation by Using Modified Davydov Technique

KAHYAOĞLU

Ozdemir

2022

Online Türk Sağlık Bilimleri Dergisi

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A-21 year-old woman diagnosed with Meyer Rokitamsky Kuster Hauser syndrome has presented with a complaint of amenorrhea and failure to have vaginal penetration during coitus. On magnetic resonance imaging, bilateral rudimentary uterine remnants next to normal appearing ovaries with absence of uterus have been detected. Laparoscopically, a 3 cm transverse incision was made pelvic peritoneum and vaginal apex to create a two finger width opening to the blind vagina. Anterior and posterior visceral peritoneal edges have been grasped and sutured vaginally to the vaginal epithelial border. A continuous purse string stitch technique has been utilized to close the proximal part of the neovagina. Postoperative course of the patient was uneventful. The patient kept using a vaginal silicone dilatator every night for 3 months and she was allowed to have regular coital activity after then. Modified Davydov procedure is an efficient surgical technique with lower complication rates and vaginal stenosis rates.

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