Minimalinvasive Möglichkeiten zur Bildung einer Neovagina

Christensen, Brent J.

doi:10.1055/s-2002-34746

Cited by 4 publications

(2 citation statements)

References 3 publications

(5 reference statements)

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“…4) ) [ 7 ], [ 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ]. Furthermore the laparoscopical approach fulfilled several of well-recognized advantages of minimal-invasive surgery such as small scarring, less morbidity, shorter hospitalization with faster recovery [ 19 ]. Fedele at al.…”

Section: Discussionmentioning

confidence: 99%

Efficacy risks of the minimal-invasive plastic and reconstructive neovagina Vecchietti technique in Mayer-Rokitansky-Küster-Hauser syndrome

Cezar

Devassy

Larbig

et al. 2014

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 3:Doc13; ISSN 2193-8091

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Section: Discussionmentioning

confidence: 99%

Efficacy risks of the minimal-invasive plastic and reconstructive neovagina Vecchietti technique in Mayer-Rokitansky-Küster-Hauser syndrome

Cezar

Devassy

Larbig

et al. 2014

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 3:Doc13; ISSN 2193-8091

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“…d Final surgical site with tensioned threads; puncture sites; suprapubic catheter and transurethral catheter and intravaginal pluggable segmented dummy located in situ It must be worn for several months post-surgery in conjunction with plenty of estrogen-containing cream, full-time in the first 3-4 weeks after the operation, then at least at night. Should regular intercourse not be possible after the healing/epithelialization phase, it must be worn at least at night for several additional months, since without intercourse there remains at least the theoretical risk of secondary shrinkage of the neovagina [14].…”

Section: Postoperative Applicationmentioning

confidence: 99%

Improvement of endoscopically assisted neovagina: new application instruments and traction device

et al. 2004

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Introduction: Despite the advantages of the laparoscopic-assisted technique of creation of a neovagina, the method is still time-consuming and has weak points. The main complications are the slipping off of the traction device, the ripping off of the threads, the unstable direction of the tension, and further technical complications. Technical and clinical results: Through the perfected mechanics of the traction device and the application instruments all the complications due to the old mechanical system can now be avoided. The first clinical results show that using the new modern equipment leads to a significant reduction of the operation time and of the time of tension but still having the same equally good functional and anatomical results without a higher complication rate. Conclusion: Through the new developed traction device and the perfected application instruments an operation set exists for the optimization of the laparoscopic-assisted creation of a neovagina and therefore for the therapy of a lot of cases of vaginal aplasia.

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Long-term outcome after laparoscopic creation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome by a modified Vecchietti procedure

Keckstein¹,

Kandolf²,

Rauter³

et al. 2007

Gynecol Surg

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Several conservative and surgical methods have been proposed for patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. The technique described by Vecchietti is a combination of both dilatation and surgery. We describe a minimally invasive modification of this approach including dissection of the vesico-rectal septum and present long-term patient outcome. Eight patients who underwent surgery at our department between 1996 and 2005 for MRKH syndrome were included in the present analysis. Post-operative follow-up and a semi-structured telephone interview were performed to obtain information on neovaginal functionality, immediate and long-term postoperative outcome, sexual function and physiological and psychological well-being evaluated on a 10-point scale and by the Sintonen 15D questionnaire. After a median postoperative (median operation time: 88 min, range: 63-116 min) follow-up period of 40.3 months (range: 18-84 months) without major complications and a median post-operative stay of 13.8 days (range: 6-15 days), a functional neovagina was created in seven of eight patients. Median vaginal length at the time of discharge from the hospital ranged between 7 and 10 cm (median: 9.6 cm) and reached 11.5 cm (range: 5-15 cm) at the time of evaluation. Except for one patient who neither had regular sexual intercourse nor used the vaginal dilator, sexual intercourse was quoted as satisfactory in six cases (one patient still used the dilator only). Patients reported an improvement of quality of life (mean: 8.1, range: 5-10) and self-confidence (8.1, range: 5-10) and general well-being evaluated by the Sintonen 15D questionnaire (average score of 1.8, SD= 0.06). The laparoscopic-assisted Vecchietti procedure with dissection of the vesico-rectal septum is a safe and effective method for creation of a neovagina in MRKH patients.

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Minimalinvasive Möglichkeiten zur Bildung einer Neovagina

Cited by 4 publications

References 3 publications

Efficacy risks of the minimal-invasive plastic and reconstructive neovagina Vecchietti technique in Mayer-Rokitansky-Küster-Hauser syndrome

Efficacy risks of the minimal-invasive plastic and reconstructive neovagina Vecchietti technique in Mayer-Rokitansky-Küster-Hauser syndrome

Improvement of endoscopically assisted neovagina: new application instruments and traction device

Long-term outcome after laparoscopic creation of a neovagina in patients with Mayer-Rokitansky-Küster-Hauser syndrome by a modified Vecchietti procedure

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