[Congenital vaginal aplasia: laparoscopic reconstruction of a neovagina using the Vecchietti technique in the Mayer-von Rokitansky-Kuester-Hauser syndrome].
OBJECTIVE
Creation of a neovagina in patients with congenital vaginal aplasia and evaluation of laparoscopic approach.


METHODS
Pilot prospective.


METHODS
Department of Gynaecology and Minimally Invasive Surgery Hospital Na Homolce.


METHODS
Four patients with the above mentioned syndrome were included and the laparoscopic modification of the open Vecchietti's technique was used. All patients had a complete clinical examination and ultrasound evaluation.


RESULTS
No complications were found. The mean duration of surgery was 96 min. After two weeks a satisfactory vaginal length was achieved in all patients.


CONCLUSIONS
The laparoscopic approach has all advantages of minimally invasive surgery. At the same time the advantages of Vecchietti's open technique are maintained.
Bartos
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Oddĕlení gynekologie a minimálnĕ invazivní chirurgie, Nemocnice Na Homolce, Praha.
D005260:Female; D006801:Humans; D010535:Laparoscopy; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000379:methods; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*