New modified laparoscopic Davydov’s method using the rudimentary uterus

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

doi:10.18203/2320-1770.ijrcog20182913

Authors

Aki Takase Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Akihiro Hamuro Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Megumi Ashimura Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Natusko Yokoi Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Takuya Misugi Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Daisuke Tachibana Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
Masayasu Koyama Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182913

Keywords:

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

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.

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