2139 Modification of Vecchietti's Laparoscopic Technique for Neovagina in a Mexico

Abstract

Study Objective To show the success obtained in the development of a low cost modified technique for neovagina by traction and use of balloon with laparoscopic assistance, based on anatomical and functional results. Design Retrospective study in female adult patients with Mayer-Rokitansky-Küster-Hauser syndrome treated by using our low cost modified technique, during the period of January 2010-January 2018. Setting N/A Patients or Participants Female patients, over 18 years of age diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome, treated by our group with a neovagina using traction and balloon with laparoscopic assistance technique in the period from January 2010 to January 2018. Interventions After informed consent, in a total of 15 patients were operated with a modified surgery of Vecchietti's laparoscopic technique using an inexpensive traction device. Our group evaluated both functional outcomes and anatomical/aesthetic results. By te functional, one the female sexual function index of Rosen R. et al. was evaluated, and the anatomical/aesthetic results was evaluated with vaginoscopy exam. Measurements and Main Results A total of 15 patients were evaluated who met the inclusion criteria in a period of ten years, with a mean age of 19 years, who reported with sexual functionality and satisfaction of it after 3 years since surgery follow-up. According to the functional evaluation, the total score obtained in our study was on average of 26 pts, ruling out sexual dysfunction. The anatomical result was evaluated by vaginoscopy with a vaginal length of 11 +/-2 cm; in 3 months after surgery follow-up. Conclusion Our group concluded that the modification of Vecchietti´s laparoscopic technique, decreases widelly material costs (material cost of this technique is estimated of $10.000 dls, making it a more accessible treatment option for patients in public health institutions in Mexico. To show the success obtained in the development of a low cost modified technique for neovagina by traction and use of balloon with laparoscopic assistance, based on anatomical and functional results. Retrospective study in female adult patients with Mayer-Rokitansky-Küster-Hauser syndrome treated by using our low cost modified technique, during the period of January 2010-January 2018. N/A Female patients, over 18 years of age diagnosed with Mayer-Rokitansky-Küster-Hauser syndrome, treated by our group with a neovagina using traction and balloon with laparoscopic assistance technique in the period from January 2010 to January 2018. After informed consent, in a total of 15 patients were operated with a modified surgery of Vecchietti's laparoscopic technique using an inexpensive traction device. Our group evaluated both functional outcomes and anatomical/aesthetic results. By te functional, one the female sexual function index of Rosen R. et al. was evaluated, and the anatomical/aesthetic results was evaluated with vaginoscopy exam. A total of 15 patients were evaluated who met the inclusion criteria in a period of ten years, with a mean age of 19 years, who reported with sexual functionality and satisfaction of it after 3 years since surgery follow-up. According to the functional evaluation, the total score obtained in our study was on average of 26 pts, ruling out sexual dysfunction. The anatomical result was evaluated by vaginoscopy with a vaginal length of 11 +/-2 cm; in 3 months after surgery follow-up. Our group concluded that the modification of Vecchietti´s laparoscopic technique, decreases widelly material costs (material cost of this technique is estimated of $10.000 dls, making it a more accessible treatment option for patients in public health institutions in Mexico.