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Laparoscopic Vecchietti procedure: pearls for success.
Fertil Steril
December 2024
Department of Obstetrics and Gynecology, Cleveland Clinic, Cleveland, Ohio.
Objective: To present an effective strategy for optimizing the care of patients with Müllerian agenesis who desire surgical management for the creation of a neovagina with the laparoscopic Vecchietti procedure.
Design: This video provides a framework for patient evaluation and selection, surgical strategy, and postoperative care regimen to provide optimal postprocedural outcomes.
Setting: Academic Hospital.
Laparoscopic Davydov vs. laparoscopic Vecchietti neovaginoplasty in women with Mayer-Rokitansky-Küster-Hauser syndrome; a systematic review and meta-analysis.
Fertil Steril
April 2024
Department of Obstetrics and Gynecology, Radboud university medical center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.
Objective: To summarize the available evidence on the laparoscopic Davydov and Vecchietti methods to create a neovagina and to compare these techniques with a focus on neovaginal length, sexual function, operative time, and complications.
Design: A systematic electronic search up to August 2022 using PubMed and Embase is performed.
Setting: Not applicable.
Surgical Correction of Vaginal Agenesis via Modified Laparoscopic Vecchietti Procedure.
J Pediatr Adolesc Gynecol
December 2023
Division of Pediatric and Adolescent Gynecology, Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut.
Objective: To describe surgical correction of vaginal agenesis via a modified laparoscopic Vecchietti procedure with the goal of disseminating knowledge and improving surgical technique CASE: An 18-year-old female presented with primary amenorrhea, age-appropriate secondary sex characteristics, a shallow vagina, and 46,XX karyotype. Imaging showed rudimentary uterine horns and normal ovaries, kidneys, and spine. Diagnosis of Mayer-Rokitansky-Küster-Hauser syndrome type I was made.
View Article and Find Full Text PDFRetrospective comparative cohort study of neovagina creation by modified Vecchietti-laparoendoscopic single-site surgery for Mayer-Rokitansky-Küster-Hauser syndrome.
Ann Transl Med
October 2022
Department of Difficult Gynecological Disease, Xi'an People's Hospital (Xi'an Fourth Hospital), Xi'an, China.
Background: Although traditional multi-incision laparoscopic surgery is minimally invasive, it can still leave surgical scars on the lower abdomen. This study reports a modified Vecchietti-laparoendoscopic single-site (MVLESS) procedure using self-made instruments to create a neovagina for Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) and to determine the efficacy and safety.
Methods: We conducted a retrospective comparative cohort study analysis of the clinical data from MRKHS patients treated in the Department of Difficult Gynecological Disease at Xi'an People's Hospital between January 2010 and December 2020.
Comparison of the modified laparoscopic Vecchietti and Davydov colpoplasty techniques in Mayer-Rokitansky-Küster-Hauser syndrome: A long-term follow-up analysis.
J Obstet Gynaecol Res
July 2022
Department of Gynecology, Women's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, P. R. China.
Article Synopsis
- The study compared two laparoscopic techniques for vaginoplasty in women with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome, focusing on the modified Vecchietti and Davydov methods over a follow-up period from 2009 to 2019.
- Results showed that the modified Vecchietti technique had a significantly shorter surgery duration and less intraoperative blood loss compared to the Davydov technique, while both techniques yielded similar long-term anatomical and sexual function outcomes.
- The findings suggest that both procedures are effective for treating vaginal agenesis, but the modified Vecchietti technique is easier to perform than the modified Davydov technique.
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