A simple and effective traction device for laparoscopic formation of a neovagina using the Vecchietti technique.
We sought to present a simple new traction device that was used with success in 4 cases of laparoscopic creation of a neovagina using a modified Vecchietti technique. Four patients were treated with laparoscopic creation of a neovagina. All women had Rokitansky-Küster-Hauser syndrome and no more than a 1-cm vestibule dimple. A 3-cm diameter and 10-cm long plastic tube (mold) was used for traction. We developed 2 independent wood traction devices. They were based on tuning pegs of a guitar. The 1-cm demarcation in the external face of the mold allowed easy observation of the effects of traction. The patients were hospitalized from 7 to 10 days and the postoperative courses were uneventful. One patient was lost after 3 months of follow-up. After a year, the other 3 patients were having intercourse and were satisfied with the results. The laparoscopic technique has several advantages: it does not need grafts, it does not need a dissection of the space between the bladder and the rectum, it uses the mucous membrane of the vestibular area, the time of hospitalization is relatively short, and it possesses good long-term results.
Department of Gynecology-State University of Rio de Janeiro, Rio de Janeiro, Brazil. maurelio@infolink.com.br
Marco Aurelio Pinho
MA
Oliveira
Adriana Emma Uzelac
AE
Kano
Luiz Augusto Henrique
LA
Melki
Ricardo Bassil
RB
Lasmar
Hildoberto Carneiro
HC
de Oliveira
D000328:Adult; D015331:Cohort Studies; D004867:Equipment Design; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013577:Syndrome; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*