Mayer-rokitansky-küster-hauser Syndome and Laparoscopic Assisted Creation of Neovagina (modified Vecchietti)
نویسندگان
چکیده
Objective: To report the post operative 6 month results of tree patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome who underwent laparoscopic assisted creation of neovagina (Modified Vecchietti) by using "Neovagina Set" for the first time in our clinic. Design: Prospective evaluation. Setting: University hospital Patients: Three patients with MHRK syndrome. Interventions: Laparoscopic assisted creation of neovagina (Modified Vecchietti) by using neovagina set. Main outcome measures: Duration of surgery, duration of hospitalisation, intraoperative and post operative complications, post operative respect and maintenance, anatomical and functional results, sexual satisfaction, vaginal epithelization. Results: Operation times were 60, 55, 50 minutes, respectively. Hospitalisation was 7 days for three patients. Anatomical vaginal lenght was 7, 8, 9.5 cm, respectively and vaginal epithelization was completed at 24, 20, 24 months after surgery, respectively. Conclusions: Laparoscopic modified Vecchietti technique with using "neovagina set", which was created and was standardized for this operation, to performe a neovagina should be kept in mind as one of the first step option for patients with MHRK syndrome.
منابع مشابه
Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty
INTRODUCTION Adequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible. AIM To assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS. MET...
متن کاملPregnancy in a case of Mayer-Rokitansky-Küster-Hauser Syndrome Gravidez num caso de Síndrome Mayer-Rokitansky-Küster-Hauser
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome refers to the congenital absence of the upper part (2/3) of the vagina with variable uterine development. In this disorder, infertility may be the most difficult aspect for the patient to accept. This review will describe a rare case of pregnancy in a woman with MRKH syndrome through assisted reproductive
متن کاملLaparoscopic Davydov correction of a failed gracilis flap neovagina in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with a pelvic kidney.
The laparoscopic Davydov procedure is a surgical technique for creation of a neovagina in patients with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) or vaginal agenesis. Herein we report its use in creating a neovagina after failure of a previous surgical attempt in a patient with a pelvic kidney, which has not been described to date. The patient, a 28-year-old woman with MRKH in whom creatio...
متن کاملMayer-von Rokitansky-Küster-Hauser syndrome in association with a hitherto undescribed variant of the Holt-Oram syndrome with an aorto-pulmonary window.
We report on the association of Mayer-von Rokitansky-Küster-Hauser syndrome (MRKHS) with a unique form of Holt-Oram syndrome (HOS) with an aorto-pulmonary window. A 24-year-old Turkish woman was referred to our hospital because of primary amenorrhoea. Both her vagina and uterus were absent, and the diagnosis of MRKHS was established. Laparoscopic creation of a neovagina by the modified Vecchiet...
متن کاملEfficacy risks of the minimal-invasive plastic and reconstructive neovagina Vecchietti technique in Mayer-Rokitansky-Küster-Hauser syndrome
INTRODUCTION Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital disorder clinically defined by primary amenorrhea and infertility, congenital aplasia of the uterus and upper vagina. The patients with MRKH-syndrome have a female karyotype (46, XX), normally functioning ovaries and regular development of secondary sexual characters. Generally, the initial clinical sign of the syndrome...
متن کامل