DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20182913

New modified laparoscopic Davydov’s method using the rudimentary uterus

Aki Takase, Akihiro Hamuro, Megumi Ashimura, Natusko Yokoi, Takuya Misugi, Daisuke Tachibana, Masayasu Koyama

Abstract


Among surgical procedures of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, the laparoscopic Davydov's technique seems to offer the most feasible and effective approach for creating a neovagina. Several reports have pointed at the necessity for mobilization of the peritoneum to obtain a longer neovagina and have reported a modified laparoscopic Davydov’s method. A new method was performed for a 24- and an 18-year-old patient. The most significant method in present procedure was to leave the thickened tissue that connects both rudimentary uteruses. The advantages of present procedure are physiological, creating a longer neovagina. Furthermore, this approach may help prevent prolapse of pelvic organs by leaving the thickened tissue as a ceiling.


Keywords


Laparoscopic Davydov's method, Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, Neovagina, Rudimentary uterus

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References


Fedele L. Creation of a neovagina by Davydov’s laparoscopic modified technique in patients with Rokitansky syndrome. Am J Obstet Gynecol. 2010 Jan;202(1):33.e1-6.

Zhou JH. Long-term outcomes of transvestibular vaginoplasty with pelvic peritoneum in 182 patients with Rokitansky’s syndrome. Fertil Steril. 2010; 94(6):2281-5.

Bianchi S. Creation of a neovagina in Rokitansky syndrome: comparison between two laparoscopic techniques. Fertil Steril. 2011;95:1098-100.e1-e3.

Zhao XW. Laparoscopic vaginoplasty using a single peritoneal flap: 10 years of experience in the creation of a neovagina in patients with Mayer-Rokitansky-Kuster-Hauser syndrome. Fertil Steril. 2015;104(1):0015-0282.

Soong YK. Results of modified laparoscopically assisted neovaginoplasty in 18 patients with congenital absence of vagina. Hum Reprod. 1996;11:200-3.

Adamyan LV. Application of endoscopy in surgery for malformations of genitalia. J Am Assoc Gynecol Laparosc. 1994;1:S1.

Templeman CL. Use of laparoscopically mobilized peritoneum in the creation of a neovagina. Fertil Steril. 2000;74:589-92.