title: The Vecchietti operation for constructing a neovagina: indications, instrumentation, and techniques.
abstract: The Vecchietti method is a surgical technique for the treatment of vaginal agenesis that constructs a dilation-type neovagina in 7-9 days. We have performed the Vecchietti operation on six patients. The method was applied to create a primary neovagina, to lengthen a surgically foreshortened vagina, and to reconstruct an obliterated neovagina with or without the presence of a uterus. Two patients underwent the conventional transabdominal approach, and four, laparoscopy. Follow-up was 7-39 months, and neovaginal depth was 8.0-10.6 cm. The anatomic and functional results in all patients were excellent.
authors.affiliation: Vincent Memorial Obstetrics and Gynecology Service, Massachusetts General Hospital, Boston, USA.
authors.forename: D K
authors.initials: DK
authors.lastname: Veronikis
authors.forename: G B
authors.initials: GB
authors.lastname: McClure
authors.forename: D H
authors.initials: DH
authors.lastname: Nichols
mesh_terms: D000293:Adolescent; D000328:Adult; D004414:Dyspareunia / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery; D013525:Surgical Instruments; D013536:Suture Techniques; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*