Comparison study between Vecchietti′ s and Davydov′ s laparoscopic vaginoplasty in Mayer-Rokitansky-Küster-Hauser syndrome
10.3760/cma.j.issn.0529-567x.2015.04.008
- VernacularTitle:腹腔镜Vecchietti与Davydov阴道成形术治疗MRKH综合征的对比研究
- Author:
Xiaochao DONG
;
Zhenwei XIE
;
Hangmei JIN
- Publication Type:Journal Article
- Keywords:
Congenital abnormalities;
Mullerian ducts;
Laparoscopy;
Vagina;
Gynecologic surgical procedures;
46,XX disorders of sex development
- From:
Chinese Journal of Obstetrics and Gynecology
2015;(4):278-282
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare Vecchietti′s and Davydov′s laparoscopic techniques for vagino-plasty in patients with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Methods From January 2010 to December 2013, 13 patients underwent the Vecchietti′s laparoscopic procedure (Vecchietti group), and 15 patients underwent the Davydov′s laparoscopic procedure (Davydov group). Intraoperative parameters and postoperative results were compared. Results Both of the two groups were successfully treated. The neovagina in both groups were wide with good elasticity, softness and smoothness. The operation time [(39± 7) versus (73 ± 11) minutes], the intraoperative blood loss [(21 ± 6) versus (63 ± 10) ml], the anal exsufflation time after surgery [(19 ± 5) versus (28 ± 6) hours] and the recovery period of body temperature after surgery [(35 ± 10) versus (46 ± 10) hours] of the Vecchietti group were less than those of the Davydov group (all P<0.05). But the neovagina length [(8.8±0.5) versus (9.6±0.5) cm] was shorter and the Female Sexual Function Index scale score [26.8 ± 2.0 versus 28.5 ± 1.7] was lower in the Vecchietti group than those in the Davydov group (all P<0.05). The postoperation hospital duration didn′t reached statistical difference between the two groups [(7.5 ± 0.9) versus (7.1 ± 0.7) days, P>0.05]. No intraoperative complication occurred. After surgery, 2 patients were found vaginal polyps and 8 patients were suffered from pain in the Davydov group, while all patients were suffered from pain in the Vecchietti group. Conclusions Both Vecchietti′s and Davydov′s laparoscopic techniques are simple, safe and effective surgical methods for vaginal reconstruction. In contrast, the Vecchietti′s procedure is more time efficient and minimally invasive, while the Davydov′s procedure can get less pain, longer vagina and higher sexual satisfaction.
