title: Laparoscopic Davydov Procedure for the Creation of a Neovagina in Patients with Mayer-Rokitansky-Kuster-Hauser Syndrome: Analysis of 7 Cases.
abstract: OBJECTIVE
  Several surgical techniques have been described for creating a neovagina in patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, however as yet there is no standardized treatment. The aim of this report is to assess anatomic and functional outcomes after the laparoscopic Davydov procedure for the creation of a neovagina in patients with MRKH syndrome.
  
  
  METHODS
  Seven patients with MRKH syndrome underwent the laparoscopic Davydov technique from January 2005 to August 2010. The anatomic and functional results were evaluated after 3, 6, 12, 24, 36, 48, and 60 months.
  
  
  RESULTS
  The surgical procedure was performed with no major complications except in one case in which an intraoperative bladder injury occurred and was successfully corrected. The mean duration of surgery was 162.9 minutes (range, 120-230 min). Mean lengths/widths (cm) of the neovagina were 6.4/2.6, 6.5/2.5, 6.5/2.8, 6.4/2.8, 7.1/2.8, and 7.2/2.8 at 3, 6,12, 24, 36, 48, and 60 postoperative months, respectively.
  
  
  CONCLUSIONS
  The laparoscopic Davydov procedure seems to be a safe and effective surgical treatment for patients with MRKH syndrome if postoperative intermittent self dilation was done.
authors.affiliation: Department of Obstetrics and Gynecology, Tokai University School of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. ellekazu@tokai-u.jp.
authors.forename: Kazumi
authors.initials: K
authors.lastname: Takahashi
authors.forename: Eri
authors.initials: E
authors.lastname: Nakamura
authors.forename: Shingo
authors.initials: S
authors.lastname: Suzuki
authors.forename: Mari
authors.initials: M
authors.lastname: Shinoda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nishijima
authors.forename: Yuko
authors.initials: Y
authors.lastname: Ohnuki
authors.forename: Akane
authors.initials: A
authors.lastname: Kondo
authors.forename: Takashi
authors.initials: T
authors.lastname: Shiina
authors.forename: Takahiro
authors.initials: T
authors.lastname: Suzuki
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Izumi
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000503:physiopathology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000013:Congenital Abnormalities / Q000503:physiopathology / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000002:abnormalities* / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult