Case Report

Mayer-Rokitansky-Küster-Hauser Syndome and Laparoscopic Assisted Creation of Neovagina (Modified Vecchietti)

10.5505/tjod.2013.24392

  • Fatih Şendağ
  • Ali Akdemir
  • Levent Akman
  • Mehmet Kemal Öztekin

Turk J Obstet Gynecol 2013;10(4):260-266

Objective:

To report the postoperative 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 postoperative complications, postoperative 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.

Keywords: Laparoscopic creation of neovagina, Vecchietti procesure, Mayer-Rokitansky-Küster-Hauser syndrome, Neovagina set