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

Fatih Sendag, Ali Akdemir, Levent Akman, Mehmet Kemal Oztekin
2013 Journal of Turkish Society of Obstetric and Gynecology  
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:
more » ... ration 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. ÖZET Objektif: Klini¤imizde "Neovagina Set" kullanarak ilk kez laparoskopik yard›ml› neovagina oluflturulmufl Mayer-Rokitansky-Küster-Hauser (MRKH) sendromlu 3 hastan›n 6 ayl›k sonuçlar›n›n de¤erlendirilmesi. Planlama: Prospektif de¤erlendirme. Ortam: Üniversite hastanesi Hastalar: MHRK sendromu tan›l› üç hasta. Giriflim: Neovajina set ile laparoskopik yard›ml› neovagina (Modifiye Vecchietti) oluflturulmas›. De¤erlendirme Parametreleri: Operasyon zaman›, per-post operatif komplikasyonlar, anatomik ve fonksiyonel vaginal uzunluk, postoperatif bak›m ve takip, vaginal epitelizasyon ve cinsel iliflki memnuniyeti de¤erlendirilmifltir. Sonuç: Operasyon süresi s›ras› ile 60, 55, 50 dakikad›r. Hastanede kal›fl süresi üç hasta içinde 7 gündür. Operasyon
doi:10.5505/tjod.2013.24392 fatcat:zomaxaml2ffubf6albiljwrbbu