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Results of laparoscopic davydov technique in 47 patients with congenital absence of the vagina: laparoscopic peritoneal vaginoplasty.

Other Titles
 선천성 무질증 환자에서 복막이용 복강경 질재건술(Davydov techique) 47예의 임상적 연구 
Authors
 Ki-Hyun Park  ;  Joo-Hyun Park  ;  Hyo-In Yang  ;  Bo Ram Choi  ;  Jeong Hye Baek  ;  Yeon Hong  ;  SiHyun Cho  ;  Seok Kyo Seo  ;  Young Sik Choi  ;  Byung Seok Lee 
Citation
 Korean Journal of Obstetrics and Gynecology, Vol.55(3) : 148-157, 2012 
Journal Title
 Korean Journal of Obstetrics and Gynecology 
ISSN
 2233-5188 
Issue Date
2012
Keywords
Neovagina ; Mayer-Rokitansky-Kuster-Hauser syndrome ; Congenital absence of the vagina ; Davydov technique ; Laparoscopy ; Female Sexual Function Index
Abstract
OBJECTIVE: To evaluate the technical feasibility and anatomical and functional outcomes of laparoscopic Davydov technique (transvestibular vaginoplasty with pelvic peritoneum) for the patients with Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome. METHODS: This study was a retrospective review of prospectively collected data of 47 women with MRKH syndrome between 2005 and 2011. Clinical examination, pelvic ultrasound, intravenous urography and/or renal ultrasound, laparoscopy, karyotyping, orthopedics and ears, nose, and throat examination, magnetic resonance imaging was performed and 47 patients with MRKH syndrome underwent surgery with the procedure. Their clinical, surgical, and follow-up data were recorded and the functional outcome was assessed by a brief and valid self-report questionnaire evaluating female sexual life (Female Sexual Function Index, FSFI). A control group was recruited to compare the results. RESULTS: The mean operative time was 117.2 +/- 35.3 minutes. Two intra-operative rectal and one bladder injury were repaired without sequels. One patients had vault granulation at the neovagina, which healed after electric cautery and one patient had mild enterocele. The mean length of the neovagina was 8.3 +/- 1.1 cm (range, 6 to 11 cm) without any shrinkage at the follow-up of 18.9 months (range, 6 to 53 months) after operation. The neovaginal introitus admitted two fingers in width in all patients. There was no statistical difference in the total FSFI between the case and control groups. CONCLUSION: Laparoscopic Davydov is a safe, effective treatment of MRKH syndrome with minimal invasion and a relatively low complication rate. The procedure has satisfactory anatomical and functional results. This technique offers advantages such as: short operating time and hospital stay, no particular instrumentation required and no external scars. Sexuality approaches so-called 'normal sexuality.'
Files in This Item:
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DOI
10.5468/KJOG.2012.55.3.148
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Obstetrics and Gynecology (산부인과학교실) > 1. Journal Papers
Yonsei Authors
Park, Ki Hyun(박기현)
Park, Joo Hyun(박주현)
Seo, Seok Kyo(서석교) ORCID logo https://orcid.org/0000-0003-3404-0484
Yang, Hyo In(양효인)
Lee, Byung Seok(이병석) ORCID logo https://orcid.org/0000-0001-6001-2079
Cho, Si Hyun(조시현) ORCID logo https://orcid.org/0000-0003-2718-6645
Choi, Young Sik(최영식) ORCID logo https://orcid.org/0000-0002-1157-4822
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91281
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