The Vecchietti operation for constructing a neovagina: Indications, instrumentation, and techniques

Veronikis, Dionysios K.; McClure, George B.; Nichols, David H.

doi:10.1016/s0029-7844(97)00231-7

Cited by 86 publications

(37 citation statements)

References 3 publications

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“…In the future a validated patient questionnaire will be offered to such patients. All except 1 patient resumed sexual activity with a median delay of 10 weeks (range, [8][9][10][11][12][13][14][15]. Vaginal sensation was reported as ''minimal,'' but penetration was described as satisfactory and painless in 6 of 7 patients, along with normal vulvar sensitivity.…”

Section: Resultsmentioning

confidence: 99%

“…We investigated surgical methods for corrections of vaginal aplasia (Mayer-Rokitansky-Kuster syndrome). Although Vecchietti's mechanical method [7] was obviously not adapted to our patients' situation, McIndoe's technique, consisting of the placement, between the rectum and vagina, of a mold covered by a splitthickness skin graft, which becomes the future neovagina, was considered [8]. The disadvantages of this procedure are the need to sample skin, creating a new visible scar(s), and the necessity of a long and strict bedrest to avoid graft mobilization and necrosis.…”

Section: Discussionmentioning

confidence: 99%

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A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

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Colpohysterectomy is sometimes associated with a large upper colpectomy resulting in a shortened vagina, potentially impacting sexual function. We report on a preliminary experience of a laparoscopic colpoplasty to restore a normal vaginal length. Patients with shortened vaginas after a laparoscopic colpohysterectomy were considered for a laparoscopic modified Davydov's procedure to create a new vaginal vault using the peritoneum of the rectum and bladder. From 2010 to 2014, 8 patients were offered this procedure, after informed preoperative consent. Indications were 2 extensive recurrent vaginal intraepithelial neoplasias grade 3 and 6 radical hysterectomies for cervical cancer. Mean vaginal length before surgery was 3.8 cm (standard deviation, 1.6). Median operative time was 50 minutes (range, 45-90). Blood loss was minimal (50-100 mL). No perioperative complications occurred. Median vaginal length at discharge was 11.3 cm (range, 9-13). Sexual intercourse could be resumed around 10 weeks after surgery. At a median follow-up of 33.8 months (range, 2.4-51.3), 6 patients remained sexually active but 2 had stopped. Although this experience is small, this laparoscopic modified Davydov's procedure seems to be an effective procedure, adaptable to each patient's anatomy. If the initial postoperative regular self-dilatation is carefully observed, vaginal patency is durably restored and enables normal sexual function.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Leblanc

Bresson

Merlot

et al. 2016

Journal of Minimally Invasive Gynecology

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show abstract

“…In the Vecchietti technique, traction rather than dilatation is needed to create a new vagina. Classical Vecchietti operation was an abdominal surgery that was done abdominally through a Pfannenstiel incision (14); however, this procedure was modified laparoscopically since it has high complication rates (15). This traction process may be too painful, and patients may not tolerate it easily (14,16,17 (22,23).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of vaginal agenesis treated with the modified McIndoe technique: A retrospective study

Karapınar¹,

Özkan²,

Okyay³

et al. 2016

J Turkish German Gynecol Assoc

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“…Numerous procedures were described for creation of neo-vagina with acceptable function, feeling and appearance. [5] They included serial dilation [6][7], Vecchietti's technique [8][9][10], sigmoid or ileal flaps [11][12][13][14][15][16], gracilis flap [17], Singapore flap [18][19] and expanded vulval flap [20]. Among these options the modified Mc indoe technique gained popularity being the simplest operation with very low donor site morbidity.…”

Section: Introductionmentioning

confidence: 99%

Surgical neovagina reconstruction in mullerian agenesis

Cn¹,

Devi²,

Vijayakumar³

2016

Int J of Biomed & Adv Res

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Introduction: Functional neovagina reconstruction is a challenge faced by plastic surgeons. Different patients with varied etiologies present for vaginal reconstruction as in congenital vaginal aplasia, transsexuals and acquired defects following trauma, resection of carcinoma. Different techniques are available for vaginoplasty. Aim: To evaluate the anatomical and functional outcomes of vaginoplasty using two well established surgical techniques McIndoe with split skin graft and vaginplasty using Full thickness skin graft Material and Methods: This is a prospective study conducted at the department of plastic surgery,at a tertiary care centre at Bangalore ,India over a period of 2 years from January 2013 to January 2015. Results: A total 19 patients in age group of 15 to 34 years were operated during this period. 10 patients underwent vaginoplasty using Full thickness skin graft and 9 patients underwent vaginoplasty using Mcindoe technique with split skin graft. Average vaginal length at 2 months for FTSG was 9.0cm and average vaginal length at 6 months for FTSG 9.25 cm. Average vaginal length in SSG cases at 2 months was 8.7 cm and average vaginal length at 6 months 8.9 cm. There was no statistical difference in two groups regarding vaginal length (p>0.01). Mean FSFI score in patient treated with vaginoplasty with SSG was 26.6+1.8 and FSFI in patients treated with FTSG was 30.4+1.1 ( p<0.01). Conclusion: From this study we found that vaginoplasty with FTSG was associated with lesser donor site morbidity and patients were more satisfied with scar and also that the early vaginal length was better in FTSG and none of the patients treated with FTSG needed dilatation under anaesthesia. Operative time was marginally increased in FTSG cases as compared to the SSG patients.

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The Vecchietti operation for constructing a neovagina: Indications, instrumentation, and techniques

Cited by 86 publications

References 3 publications

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

A Simple Laparoscopic Procedure to Restore a Normal Vaginal Length After Colpohysterectomy With Large Upper Colpectomy for Cervical and/or Vaginal Neoplasia

Evaluation of vaginal agenesis treated with the modified McIndoe technique: A retrospective study

Surgical neovagina reconstruction in mullerian agenesis

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