Volume 3, Issue 1 (2018)                   SJMR 2018, 3(1): 79-84 | Back to browse issues page


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Saremi A, Bahrami H, Hamideh khoo T. A report of laparoscopic vaginoplasty surgery using Modified Vecchietti Method in vaginal agenesis. SJMR. 2018; 3 (1) :79-84
URL: http://saremjrm.com/article-1-64-en.html
1- “Sarem Fertility & Infertility Research Center (SAFIR)” and “Sarem Cell Research Center (SCRC)”, Sarem Women’s Hospital, Tehran, Iran , saremiat@yahoo.com
2- Sarem Fertility & Infertility Research Center (SAFIR), Sarem Women’s Hospital, Tehran, Iran
Abstract:   (4664 Views)

Introduction: Laparoscopic vaginoplasty applying Modified Vecchietti technique is a novel method for vaginal agenesis treatment. In this method, a combination of dilation and surgery without grafting is applied. This technique was invented in 1992 and was used at Sarem hospital in Iran for the first time in 2009.

Case presentation: Nine women between ages 17-35 years with the diagnosis of Mayer- Rokitansky-Kuster-Hauser Syndrome were investigated by laparoscopic vaginoplasty using modified mecchietti between 2009 and 2014. Only two out of nine patients, had complaints about vaginal length because of lack of regular intercourse and vaginal generator. The average time for surgery was 2 hours and 8 minutes and the mean vaginal length was 6.5 cm. According to the last follow up, minimum vaginal length was 3 cm and maximum vaginal length was measured as 10cm. Also, mean staying time at hospital was 7.3 days.

Conclusion: In total, the mentioned technique, in comparison with other vaginoplasty methods has less side effects and at the same time is as effective as the other techniques. Because of lack of use of transplantation, there was no side effect due to transplantation.

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Article Type: Series Report | Subject: Reproduction
Received: 2017/01/10 | Accepted: 2017/05/19 | Published: 2018/05/22

References
1. Jones HW, Rock JA. Te Linde's operative gynecology. Philadelphia: Lippincott Williams & Wilkins; 2015. [Link]
2. McQuillan SK, Grover SR. Dilation and surgical management in vaginal agenesis: a systematic review. Int Urogynecol J. 2014;25(3):299-311 [Link] [DOI:10.1007/s00192-013-2221-9] [PMID]
3. Brucker SY, Gegusch M, Zubke W, Rall K, Gauwerky JF, Wallwiener D. Neovagina creation in vaginal agenesis: Development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients. Fertil Steril. 2008 Nov;90(5):1940-52. [Link] [DOI:10.1016/j.fertnstert.2007.08.070] [PMID]
4. Gauwerky J, Wallwiener D, Bastert G. An endoscopically assisted technique for construction of a neovagina. Arch Gynecol Obstet. 1992;252(2):59-63. [Link] [DOI:10.1007/BF02389629]
5. Viola M, Van der Merwe J, Siebert T, Kruger T. Neovagina creation–laparoscopic Vecchietti-based approach with the new kit. South African J Obstet Gynaecol. 2013;19(1). [Link]
6. Keckstein J, Kandolf O, Rauter G, Hudelist G. Long-term outcome after laparoscopic creation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome by a modified Vecchietti procedure. Gynecol Surg. 2008;5(1):21-5. [Link] [DOI:10.1007/s10397-007-0323-4]
7. Nezhat C, Nezhat F, Nezhat C. Nezhat's Video-Assisted and Robotic-Assisted Laparoscopy and Hysteroscopy with DVD. England: Cambridge University Press; 2013. [Link]

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