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2012, Number 3

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Rev Hosp Jua Mex 2012; 79 (3)

Neovagina por tracción y uso de balón expansor por abordaje laparoscópico

Jiménez-Huerta J, Quintal-Tejera DF, Ocampo-Torres AB, Carrasco-Hernández T
Full text How to cite this article

Language: Spanish
References: 23
Page: 133-139
PDF size: 404.57 Kb.


Key words:

Mayer-Rokitansky-Kuster Hauser syndrome, neovagina, laparoscopy, dilator, expander.

ABSTRACT

Introduction. Müllerian malformations of female genitalia represent a real challenge for the gynecologist, and a strong emotional and psychological impact for the patient. The treatment in those patients who have a vaginal agenesis in Mayer-Rokitansky-Kuster- Hauser focuses on the surgical treatment, since the goal in these patients is to create a vagina adequate for a normal sexual life, at present laparoscopic surgery is recommended first-line success with her getting up to 90%. However, the high cost of material to carry out such surgery remains a problem for patients. Material and methods. Neovagina was performed by pulling and use of laparoscopic balloon expander to 5 patients. Results. Vaginal elongation was achieved 10 to 12 cm in length and 4 to 6 cm in diameter at an average of 10 days, the minimally invasive technique is performed to the abdominal cavity and most importantly, the neovagina tissue is 100% vaginal mucosa. Conclusion. The described technique offers advantages over existing techniques in cost recovery.


REFERENCES

  1. Edmonds DK. Congenital malformations of the genital tract. Obstet Gynecol Clin North Am 2000; 27(1): 49-62.

  2. Breech LL, Laufer MR. Obstructive anomalies of the female tract. J Reprod Med 1999; 44(3): 233-40.

  3. Edmonds DK. Vaginal and uterine anomalies in the paediatric and adolescent patient. Curr Opin Obstet Gynecol 2001; 13: 463-7.

  4. Hughes IA. Minireview: sex differentiation. Endocrinology 2001; 142(8): 3281-7.

  5. Kaufman Y, Lam A. The pelvic uterus-like mass-A primary or secondary Müllerian system anomaly? J Minimally Invasive Gynecology 2008; 15(4): 494-7.

  6. Acién P, Acién M, Sánchez-Ferrer ML. Müllerian anomalies “without a classification”: from the didelphys-unicollis uterus to the bicervical uterus with or without septate vagina. Fertility and Sterility 2009; 91(6): 2369-75.

  7. Breech LL, Laufer MR. Müllerian anomalies review article. Obstetrics and Gynecology Clinics of North America 2009; 36(1): 47-68.

  8. Shirota K, Fukuoka M, Tsujioka H, Inoue Y, Kawarabayashi T. A normal uterus communicating with a double cervix and the vagina: a müllerian anomaly without any present classification. Fertility and Sterility 2009; 91(3): 935.e1-935.e3.

  9. ACOG Committee Opinion. Número 74. Nonsurgical diagnosis and management of vaginal agenesis. Obstet Gynecol 2002; 100(1): 213-6.

  10. Mazouni C, Girard G, Deter R, Haumonte JB, Blanc B, et al. Diagnosis of Müllerian anomalies in adults: evaluation of practice. Original Research Article Fertility and Sterility 2008; 89(1): 219-22.

  11. Santos XM, Krishnamurthy R, Bercaw-Pratt JL, Dietrich JE. The utility of ultrasound and magnetic resonance imaging versus surgery for the characterization of Müllerian anomalies in the pediatric and adolescent population original research article. J Pediatric and Adolescent Gynecology 2012. In press. Available online.

  12. Templeman C, Lam AM, Hertweck SP. Surgical management of vaginal agenesis. Obstet Gynecol Surv 1999; 54: 583-91.

  13. Laufer MR. Congenital absence of the vagina: in search of the perfect solution. When, and by what technique, should a vagina be created? Curr Opin Obstet Gynecol 2002; 14(5): 441-4.

  14. Del Rossi C, Atanasio A, Del Curto S, D’Agostino S. Treatment of vaginal atresia at a Missionary Hospital in Bangladesh: results and follow up of 20 cases. Original research article.

  15. Marwah V, Bhandari SK. Laparoscopic reation of a neovagina in Mayer-Rokitansky-Kuster-Hauser syndrome by modification of vecchietti’s procedure riginal research article. J American Association of Gynecologic Laparoscopists 2001; 8(3): 416-24.

  16. Rakesh Kapoor, Devender Kumar Sharma, Kamal Jeet Singh, Amit Suri, Pratipal Singh, Himanshu Chaudhary, Deepak Dubey, Anil Mandhani. Sigmoid vaginoplasty: Long-term results. Original Research Article. Urology 2006; 67(6): 1212-5.

  17. Urbanowicz W, Starzyk J, Sulislawski J. Laparoscopic vaginal reconstruction using a sigmoid colon segment: a preliminary report. Original Research Article.

  18. Pulman J, Kives S, Jamieson MA. A case of vaginoplasty without grafting. J Pediatric and Adolescent Gynecology 2012. In press. Available online.

  19. Elliott JE, Abduljabar H, Morris M. Presurgical management of dysmenorrhea and endometriosis in a patient with Mayer- Rokitansky-Kuster-Hauser syndrome. Fertility and Sterility 2011; 96(2): e86-e89.

  20. Strawbridge LC, Crouch NS, Cutner AS, Creighton SM. Obstructive Müllerian anomalies and modern laparoscopic management. J Pediatric and Adolescent Gynecology 2007; 20(3): 195-200.

  21. Ota H, Tanaka J-i, Murakami M, Murata M, Fukuda J, Tanaka T, Andoh H, Koyama K. Laparoscopy-assisted Ruge procedure for the creation of a neovagina in a patient with Mayer Rokitansky-Küster-Hauser syndrome. Fertility and Sterility 2000; 73(3): 641-4.

  22. Walch K, Kowarik E, Leithner K, Schätz T, Dörfler D, Wenzl R. Functional and anatomic results after creation of a neovagina according to Wharton-Sheares-George in patients with Mayer- Rokitansky-Küster-Hauser syndrome-long-term follow-up. Original Research Article. Fertility and Sterility 2011; 96(2): 492-97.e1.

  23. Atef Mohammad Darwish. A simplified novel laparoscopic formation of neovagina for cases of Mayer-Rokitansky-Küster- Hauser syndrome. J Urol 2003; 170(3): 864-6.




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Rev Hosp Jua Mex. 2012;79