New modified laparoscopic Davydov’s method using the rudimentary uterus

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


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.


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

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