RESUMO
STUDY OBJECTIVE: To compare 2 different methods to create a neovagina in patients with Rokitansky syndrome and to describe their functional results during the follow-up. DESIGN: Descriptive study on functional outcome in 32 patients with Rokitansky syndrome (Canadian Task Classification Force II-2). SETTING: University tertiary Hospital. DESIGN AND PATIENTS: 18 patients (group 1) underwent our original technique. 14 patients (group 2) were operated on with the modified technique. INTERVENTION: Comparison between 2 different techniques of laparoscopic approach. RESULTS: Both groups had excellent surgical outcomes. The modified technique (group 2) obtained an optimal vaginal depth in fewer days than in the first group (p < .001). Consequently, the hospital stay was shorter in the second group (p < .001). Follow-up was 85 months for group 1 and 17.2 months for group 2. Functional outcome was excellent during the follow-up in both groups. CONCLUSION: Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.
Assuntos
Anormalidades Múltiplas/cirurgia , Laparoscopia/métodos , Procedimentos de Cirurgia Plástica/métodos , Transtornos 46, XX do Desenvolvimento Sexual , Adolescente , Adulto , Anormalidades Congênitas , Feminino , Seguimentos , Humanos , Rim/anormalidades , Rim/cirurgia , Tempo de Internação , Ductos Paramesonéfricos/anormalidades , Ductos Paramesonéfricos/cirurgia , Complicações Pós-Operatórias , Somitos/anormalidades , Somitos/cirurgia , Coluna Vertebral/anormalidades , Coluna Vertebral/cirurgia , Fatores de Tempo , Resultado do Tratamento , Útero/anormalidades , Útero/cirurgia , Vagina/anormalidades , Vagina/cirurgia , Adulto JovemRESUMO
OBJECTIVE: The objective was to apply Vecchietti's principles to laparoscopy for the creation of a neovagina in patients diagnosed with Rokitansky syndrome. STUDY DESIGN: The setting was a university tertiary hospital. The design was a descriptive study to describe the outcome in 18 patients diagnosed with Rokitansky syndrome after laparoscopic creation of a neovagina applying Vecchietti's principles and implementing some useful modifications. RESULTS: In 17 patients the result was considered successful when a new neovagina measuring at least 10cm long was obtained. Less satisfactory in the 18th patient was when a shortened neovagina was found at the 2-year follow-up as the patient did not follow the postoperative recommendations. CONCLUSION: Laparoscopic creation of a neovagina is a safe, minimally invasive treatment with good functional and sexual results.