title: Laparoscopic and gasless laparoscopic sigmoid colon vaginoplasty in women with vaginal agenesis.
abstract: BACKGROUND
  In the past several decades we have seen multiple advances in the reconstruction for girls born with vaginal agenesis. This study aimed to evaluate the technical feasibility, anatomical and functional outcomes of one-stage laparoscopic and gasless laparoscopic vaginoplasty with sigmoid colon for the patients of vaginal agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome).
  
  
  METHODS
  We did a retrospective review of a total of 150 women with Mayer-Rokitansky-Kuster-Hauser syndrome treated at Beijing Anzhen Hospital, Capital Medical University from March 2006 to August 2010. The patients were divided into the CO2 pneumoperitoneum laparoscopic group and the abdominal wall lift of gasless laparoscopic group. Sigmoid colon vaginoplasty approaches were performed in all of the patients. The surgical techniques, perioperative results, complications, anatomical and functional outcomes of vaginoplasty were recorded.
  
  
  RESULTS
  All procedures were performed successfully. Significant differences in the operative time and intraoperative blood loss existed in the laparoscopic vaginoplasty group compared with the gasless laparoscopic vaginoplasty group. The patients who underwent sigmoid colon vaginoplasty had good cosmetic results without the problem of excessive mucus production. The postoperative complications were minimal. During a mean follow-up of 15.6 months, no stenosis or shrinkage was encountered. The subjective sexual satisfaction rate with the surgical outcomes in all patients was 83.3%.
  
  
  CONCLUSIONS
  Laparoscopic or gasless laparoscopic vaginoplasty with sigmoid colon are effective and feasible approaches for women with congenital vaginal agenesis. The procedures have satisfactory anatomical and functional results.
authors.affiliation: Department of General Surgery, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China. drzhongchenxi@sina.com
authors.forename: Chen-Xi
authors.initials: CX
authors.lastname: Zhong
authors.forename: Ji-Xiang
authors.initials: JX
authors.lastname: Wu
authors.forename: Jie-Xiong
authors.initials: JX
authors.lastname: Liang
authors.forename: Qing-Hua
authors.initials: QH
authors.lastname: Wu
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery; D000015:Abnormalities, Multiple / Q000601:surgery; D000328:Adult; D012809:Colon, Sigmoid / Q000601:surgery*; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities; D011027:Pneumoperitoneum; D011183:Postoperative Complications; D012189:Retrospective Studies; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery; D014623:Vaginal Diseases / Q000601:surgery*; D055815:Young Adult