title: Laparoscopic creation of a neovagina in Mayer-Rokitansky-Küster-Hauser syndrome by modified Vecchietti's procedure.
abstract: OBJECTIVE
  The objective was to apply Vecchietti's principles to laparoscopy for the creation of a neovagina in patients diagnosed with Rokitansky syndrome.
  
  
  METHODS
  The setting was a university tertiary hospital. The design was a descriptive study to describe the outcome in 18 patients diagnosed with Rokitansky syndrome after laparoscopic creation of a neovagina applying Vecchietti's principles and implementing some useful modifications.
  
  
  RESULTS
  In 17 patients the result was considered successful when a new neovagina measuring at least 10cm long was obtained. Less satisfactory in the 18th patient was when a shortened neovagina was found at the 2-year follow-up as the patient did not follow the postoperative recommendations.
  
  
  CONCLUSIONS
  Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.
authors.affiliation: Getafe University Hospital, Madrid, Spain.
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Folgueira
authors.forename: Tirso
authors.initials: T
authors.lastname: Perez-Medina
authors.forename: Luis
authors.initials: L
authors.lastname: Martinez-Cortes
authors.forename: Ana
authors.initials: A
authors.lastname: Martinez-Lara
authors.forename: Belén
authors.initials: B
authors.lastname: Gomez
authors.forename: Javier
authors.initials: J
authors.lastname: Izquierdo
authors.forename: José
authors.initials: J
authors.lastname: Bajo-Arenas
mesh_terms: D000293:Adolescent; D000328:Adult; D003075:Coitus; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D010349:Patient Compliance; D013577:Syndrome; D016896:Treatment Outcome; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*