Laparoscopically assisted neovagina formation – updated Vechieti surgery

Czech version

Authors: I. Rejdová ¹; M. Petrenko ²; Z. Hodická ¹
Authors‘ workplace: Gynekologicko-porodnická klinika FN Brno a LF MU Brno, přednosta prof. MUDr. P. Ventruba, DrSc., MBA ¹; I. gynekologicko-porodnická klinika LF UK a UNB Bratislava, přednosta prof. MUDr. M. Borovský, PhD. ²
Published in: Ceska Gynekol 2012; 77(2): 104-108
Category: Original Article

Overview

Aims of the work:
To evaluate the file o patients operated for the agenesis of uterus and vagina by laparoscopic assisted neoplastic of vagina according to Vecchietti.

Type of the study:
Original study.

Setting:
Gynecologic-Obstetrics Dpt, Medical Faculty of Masaryk University and University Hospital, Brno.

Materials and methods:
The study included 13 patients operated from September 2000 until April 2011. The patients were operated for the agenesis of the uterus and vagina by laparoscopic assisted neoplastic of vagina with gradual retraction of the special “olive” into the retrovesical space.

Results:
All of the operations were performed without any serious complication. The retraction of the olive was done once in 2 to 3 days. The dilatation period varied between 10 to 14 days. The length of the vagina, after removing the olive, was 8 to 10 cm. During examination, 2 to 4 months later, the length of the neovagina varied from 8 to 10 cm. During later follow-up controls, 11 patients reported regular sexual intercourse with which they were satisfied.

Conclusion:
This operation technique enables patients, with undeveloped vagina, satisfactory sexual life. Our results are comparable to the ones of the other authors.

Key words:
uterus agenesis, vaginal agenesis, vaginal neoplastic, laparoscopy.

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