IMR Press / CEOG / Volume 42 / Issue 3 / DOI: 10.12891/ceog1860.2015

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Original Research
Optimizing the modified laparoscopic Vecchietti procedure
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1 Department of Obstetrics and Gynecology, King Abdulaziz University, Jeddah
2 Department of Anesthesia, King Abdulaziz University, Jeddah (Saudi Arabia)
Clin. Exp. Obstet. Gynecol. 2015, 42(3), 352–354; https://doi.org/10.12891/ceog1860.2015
Published: 10 June 2015
Abstract

Objective: To enhance the modified laparoscopic Vecchietti procedure. Materials and Methods: A case series of five women with Mayer-Rokitansky-Küster-Hauser syndrome at the Department of Obstetrics and Gynecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia underwent the modified laparoscopic Vecchietti procedure with intraperitoneal placement of sutures. This involved perforation of the vaginal dimple by a straight thread guide with two threads attached to the olive followed by pulling the two threads intra-peritoneally and through the abdominal wall to the traction device by grasping instruments under laparoscopic control. Results: Intraperitoneal placement of the sutures was easily done without complications in all five women. The operative time was 50 ± 10 (mean ± SD) minutes. After five postoperative days, the average vaginal length was seven to 7.5 cm. Two women were able to have vaginal intercourse without problems. After six months to one year of follow up, the vaginal length was at least ten cm and no postoperative complications occurred. Conclusions: Intraperitoneal placement of sutures makes the modified laparoscopic Vecchietti procedure easy and appealing. Furthermore, it avoids potential damage to the vital structures at the pelvic side walls.
Keywords
Vaginal agenesis
Vecchietti procedure
Intraperitoneal suture approach
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