[Laparoscopic neovaginoplasty--a modification of the Vecchietti operation].
OBJECTIVE
To asses laparoscopic approach to neovaginoplasty.


METHODS
Retrospective clinical study.


METHODS
Department of Gynecology and Obstetrics, 2nd Medical Faculty of Charles University.


METHODS
Vecchietti's neovaginoplasty is considered to be the most advantageous technique of creating neovagina in vaginal agenesis, because of low perioperational morbidity and quicker recovery. Authors describe own modification of laparoscopic procedure based on designed equipment of themselves.


RESULTS
Study evaluates 17 cases of laparoscopic procedures, which are compared with classical laparotomic approach we were experienced in past. Time of surgery was shorter (48 min vs. 66 min) and blood loss was lower (15 ml vs. 50-100 ml) in laparoscopic procedure. Number of complications was lower in this procedure too. There was no difference in length of hospital stay and size of neovagina.


CONCLUSIONS
Laparoscopic modification is safe procedure and comparable with classic operation as regards surgical effect. Both types of procedures are determined for workplaces with experience in special reconstructive surgery and follow-up.
Charvát
M
M
Horejsí
J
J
Teslík
L
L
D000293:Adolescent; D000328:Adult; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D010535:Laparoscopy; D012189:Retrospective Studies; D014621:Vagina / Q000002:abnormalities / Q000601:surgery*