title: Laparoscopy in surgical treatment of vaginal aplasia: laparoscopy-assisted colpopoiesis and perineal hysterectomy with colpopoiesis.
abstract: OBJECTIVE
  To optimize methods of surgery in patients with malformations of the genitalia.
  
  
  METHODS
  Comparative evaluation of effectiveness of reconstructive plastic operations for malformations of uterus and vagina, performed by conventional methods or via laparoscopy.
  
  
  RESULTS
  Laparoscopy permits identification of the pelvic peritoneum plus opening it and using the most mobile portion to create the vaginal fornix. In patients with vaginal and cervical aplasia and non-communicating functional rudimentary uterus, laparoscopy assists hysterectomy performed by the vaginal approach, as well as the last step of colpopoiesis.
  
  
  CONCLUSIONS
  Laparoscopy significantly facilitates the procedure, reduces operating time and risks, and makes the operation available to the wide range of surgeons skilled in laparoscopy.
authors.affiliation: Scientific Center for Obstetrics, Gynecology and Perinatology Russian Academy of Medical Sciences Moscow, Russia.
authors.forename: L V
authors.initials: LV
authors.lastname: Adamian
authors.forename: Z R
authors.initials: ZR
authors.lastname: Zurabiani
authors.forename: S I
authors.initials: SI
authors.lastname: Kiselev
authors.forename: A Z
authors.initials: AZ
authors.lastname: Khashukoeva
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods / Q000592:standards*; D007045:Hysterectomy, Vaginal / Q000379:methods / Q000592:standards*; D010535:Laparoscopy / Q000379:methods / Q000592:standards*; D010537:Peritoneum / Q000601:surgery*; D013518:Surgery, Plastic / Q000379:methods*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*