Laparoscopic Neovaginoplasty: Modification of Vecchietti’s Operation

Overview

Objective:
To asses laparoscopic aproach to neovaginoplasty.Design: Retrospective clinical study.Setting: Department of Gynecology and Obstetrics, 2nd Medical Faculty of Charles University.Methods: Vecchietti’s neovaginoplasty is considered to be the most advantageous technique of creating neovagina in vaginal agenesis, because of low perioperational morbidity and quicker recovery. Authors describe own modification of laparoscopic procedure based on designed equipment of themselves.Results: Study evaluates 17 cases of laparoscopic procedures, which are compared with clasical laparotomic approach we were experienced in past. Time of surgery was shorter (48 min vs. 66 min) and blood loss was lower (15 ml vs. 50 - 100 ml) in laparoscopic procedure. Number of complications was lower in this procedure too. There was no difference in length of hospital stay and size of neovagina.Conclusion: Laparoscopic modification is safe procedure and comparable with clasic operation as regards surgical effect. Both types of procedures are determined for workplaces with experience in special reconstructive surgery and follow-up.

Key words:
creating of neovagina, laparoscopic technique, time of surgery, blood loss, complications