Laparoscopic creation of a neovagina in Mayer-Rokitansky-Küster-Hauser syndrome by modified Vecchietti's procedure.
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.
Folgueira
Gonzalo
G
Getafe University Hospital, Madrid, Spain.
Perez-Medina
Tirso
T
Martinez-Cortes
Luis
L
Martinez-Lara
Ana
A
Gomez
Belén
B
Izquierdo
Javier
J
Bajo-Arenas
José
J
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*