Laparoscopy in surgical treatment of vaginal aplasia: laparoscopy-assisted colpopoiesis and perineal hysterectomy with colpopoiesis.
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.
Adamian
L V
LV
Scientific Center for Obstetrics, Gynecology and Perinatology Russian Academy of Medical Sciences Moscow, Russia.
Zurabiani
Z R
ZR
Kiselev
S I
SI
Khashukoeva
A Z
AZ
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*