American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 377.e1-377.e6 , April 2008

The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results

  • Luigi Fedele, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • Corresponding Author InformationReprints: Luigi Fedele, MD, Professor, Clinica Ostetrica e Ginecologica I, Università di Milano, Istituto Luigi Mangiagalli, Via della Commenda 12, 20122 Milano, Italy.
    • ,
  • Stefano Bianchi, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Giada Frontino, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Eleonora Fontana, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Elisa Restelli, MD

      Affiliations

    • Department of Obstetrics, Gynecology, and Neonatology, Fondazione Policlinico-Mangiagalli-Regina Elena, University of Milan, Milan, Italy
    • ,
  • Vincenzina Bruni, MD

      Affiliations

    • Department of Gynecology, Perinatology, and Human Reproduction, University of Florence, Florence, Italy.

Received 9 June 2007 ,Revised 27 July 2007 ,Accepted 25 October 2007.

References 

  1. Fedele L, Busacca M, Candiani M, Vignali M. Laparoscopic creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome by modification of Vecchietti’s operation. Am J Obstet Gynecol. 1994;171:268–269
  2. Fedele L, Bianchi S, Zanconato G, Raffaelli R. Laparoscopic creation of a neovagina in patients with Rokitansky syndrome: analysis of 52 cases. Fertil Steril. 2000;74:384–389
  3. Frank RT. The formation of an artificial vagina without operation. Am J Obstet Gynecol. 1938;35:1053–1055
  4. Fedele L, Bianchi S, Berlanda N, Fontana E, Bulfoni A, Borruto F. Laparoscopic creation of a neovagina with the laparoscopic Vecchietti operation: comparison of two instrument sets. Fertil Steril. 2006;96:429–432
  5. Borruto F, Camoglio FS, Zampieri N, Fedele L. The laparoscopic Vecchietti technique for vaginal agenesis. Int J Gynaecol Obstet. 2007;98:15–19
  6. Rosen R, Brown C, Heiman J, et al. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208
  7. Fedele L, Bianchi S, Zanconato G, Raffaelli R, Zatti N. Laparoscopic creation of a neovagina in a woman with a kidney transplant: case report. Hum Reprod. 2000;15:692–693
  8. Soong YK, Chang FH, Lai YM, Lee Cl, Chou HH. Results of modified laparoscopically assisted neovaginoplasty in 18 patients with congenital absence of vagina. Hum Reprod. 1996;11:200–203
  9. Fedele L, Bianchi S, Berlanda N, et al. Neovaginal mucosa after Vecchietti’s laparoscopic operation for Rokitansky syndrome: Structural and ultrastructural study. Am J Obstet Gynecol. 2006;195:56–61
  10. Gauwerky JF, Wallwiener D, Bastert G. An endoscopically assisted technique for construction of a neovagina. Arch Gynecol Obstet. 1992;252:59–63
  11. Veronikis DK, McClure GB, Nichols DH. The Vecchietti operation for constructing a neovagina: Indications, instrumentation, and techniques. Obstet Gynecol. 1997;90:301–304
  12. Laffargue F, Giacalone PL, Boulot P, Vigoroux B, Hedon B, Benos P. A laparoscopic procedure for the treatment of vaginal aplasia. BJOG. 1995;102:565–567
  13. Giacalone PL, Laffargue F, Faure JM, Deschamps F. Ultrasound-assisted laparoscopic creation of a neovagina by modification of Vecchietti’s operation. Obstet Gynecol. 1999;93:446–448
  14. Folgueira G, Perez-Medina T, Martinez-Cortes L, et al. Laparoscopic creation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome by modified Vecchietti’s procedure. Eur J Obstet Gynecol Reprod Biol. 2006;127:240–243
  15. Weber AM, Walters MD, Schover LR, Mitchinson A. Vaginal anatomy and sexual function. Obstet Gynecol. 1995;86:946–949
  16. Pearson H. Infertility researchers target uterus transplant. Nature. 2007;445:466–467
  17. Del Priore G, Stega J, Sieunarine K, Ungar L, Smith JR. Human uterus retrieval from a multiorgan donor. Obstet Gynecol. 2007;109:101–104

 Cite this article as: Fedele L, Bianchi S, Frontino G, et al. The laparoscopic Vecchietti’s modified technique in Rokitansky syndrome: anatomic, functional, and sexual long-term results. Am J Obstet Gynecol 2008;198:377.e1-377.e6.

PII: S0002-9378(07)02051-0

doi: 10.1016/j.ajog.2007.10.807

American Journal of Obstetrics & Gynecology
Volume 198, Issue 4 , Pages 377.e1-377.e6 , April 2008

Article Tools

* Image Usage & Resolution