title: Optimizing the modified laparoscopic Vecchietti procedure.
abstract: OBJECTIVE
  To enhance the modified laparoscopic Vecchietti procedure.
  
  
  METHODS
  A case series of five women with Mayer-Rokitansky-Küster-Hauser syndrome at the Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia underwent the modified laparoscopic Vecchietti procedure with intraperitoneal placement of sutures. This involved perforation of the vaginal dimple by a straight thread guide with two threads attached to the olive followed by pulling the two threads intra-peritoneally and through the abdominal wall to the traction device by grasping instruments under laparoscopic control.
  
  
  RESULTS
  Intraperitoneal placement of the sutures was easily done without complications in all five women. The operative time was 50 ± 10 (mean ± SD) minutes. After five postoperative days, the average vaginal length was seven to 7.5 cm. Two women were able to have vaginal intercourse without problems. After six months to one year of follow up, the vaginal length was at least ten cm and no postoperative complications occurred.
  
  
  CONCLUSIONS
  Intraperitoneal placement of sutures makes the modified laparoscopic Vecchietti procedure easy and appealing. Furthermore, it avoids potential damage to the vital structures at the pelvic side walls.
authors.forename: A A
authors.initials: AA
authors.lastname: Rouzi
authors.forename: N
authors.initials: N
authors.lastname: Sahly
authors.forename: S
authors.initials: S
authors.lastname: Kafy
authors.forename: O
authors.initials: O
authors.lastname: Bajouh
authors.forename: A
authors.initials: A
authors.lastname: Kaki
authors.forename: H
authors.initials: H
authors.lastname: Abduljabbar
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000601:surgery*; D000328:Adult; D015331:Cohort Studies; D003075:Coitus; D000013:Congenital Abnormalities / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D012529:Saudi Arabia; D013536:Suture Techniques; D016896:Treatment Outcome; D014621:Vagina / Q000601:surgery*; D055815:Young Adult