title: Creation of a neovagina in Rokitansky syndrome: comparison between two laparoscopic techniques.
abstract: OBJECTIVE
  To compare Vecchietti's and Davydov's laparoscopic techniques for creation of a neovagina in patients with Rokitansky syndrome.
  
  
  METHODS
  Comparative retrospective study.
  
  
  METHODS
  Tertiary referral center for the treatment of Rokitansky syndrome.
  
  
  METHODS
  Eighty patients with Rokitansky syndrome.
  
  
  METHODS
  Patients underwent surgical creation of a neovagina. Fifteen patients who underwent the Vecchietti procedure from October 2003 to December 2004 and 30 patients who underwent the Davydov procedure from June 2005 to August 2008 were also included from two previously published studies. Follow-up lasted at least 12 months.
  
  
  METHODS
  Intraoperative parameters and anatomic results were compared. Functional results were compared through the Female Sexual Function Index. Epithelization of the neovagina was assessed in both groups through vaginoscopy and Schiller's test.
  
  
  RESULTS
  No major intraoperative complications were encountered in either group. Mean (±SD) duration of surgery was 30 ± 9.6 and 134 ± 24 minutes in Vecchietti's and Davydov's approach, respectively. At 12 postoperative months, length and width of the neovagina in the two groups were 7.5 ± 1.1 and 2.8 ± 0.6 cm, and 8.5 ± 1.6 and 2.8 ± 0.65, respectively. Epithelization of the neovagina at 6-month follow-up was 60% and 80%, respectively, and 100% in both groups at 12 postoperative months.
  
  
  CONCLUSIONS
  Anatomic and functional outcomes of the two approaches tend to be comparable at 12-month follow-up; the only significant difference seems to be in greater length for the neovagina obtained by Davydov's approach.
authors.affiliation: Clinica Ostetrica e Ginecologica I, Università di Milano, Ospedale San Giuseppe, Milan, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bianchi
authors.forename: Giada
authors.initials: G
authors.lastname: Frontino
authors.forename: Nevio
authors.initials: N
authors.lastname: Ciappina
authors.forename: Elisa
authors.initials: E
authors.lastname: Restelli
authors.forename: Luigi
authors.initials: L
authors.lastname: Fedele
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery; D000015:Abnormalities, Multiple / Q000601:surgery; D000293:Adolescent; D000013:Congenital Abnormalities; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities; D011183:Postoperative Complications; D012189:Retrospective Studies; D019529:Sexuality; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery*; D055815:Young Adult