Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience

Laparoscopic sigmoid vaginoplasty is a minimally invasive procedure performed in selected Mayer-Rokitansky-Kuster-Hauser syndrome patients and in other conditions when creation of a vagina is indicated. Creation of a colorectal anastomosis is one of the Laparoscopic sigmoid vaginoplasty steps. The b...

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Main Authors: S. Paskauskas, T. Latkauskas, R. Augustis, Z. Dambrauskas, A. Bartusevicius, A. Gaurilcikas, J. Celiesiute, D. Vaitkiene, E. Svedas, M. Gedgaudaite, A. Sukovas, R.J. Nadisauskiene
Format: Article
Language:English
Published: IMR Press 2020-10-01
Series:Clinical and Experimental Obstetrics & Gynecology
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Online Access:https://www.imrpress.com/journal/CEOG/47/5/10.31083/j.ceog.2020.05.5433
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author S. Paskauskas
T. Latkauskas
R. Augustis
Z. Dambrauskas
A. Bartusevicius
A. Gaurilcikas
J. Celiesiute
D. Vaitkiene
E. Svedas
M. Gedgaudaite
A. Sukovas
R.J. Nadisauskiene
author_facet S. Paskauskas
T. Latkauskas
R. Augustis
Z. Dambrauskas
A. Bartusevicius
A. Gaurilcikas
J. Celiesiute
D. Vaitkiene
E. Svedas
M. Gedgaudaite
A. Sukovas
R.J. Nadisauskiene
author_sort S. Paskauskas
collection DOAJ
description Laparoscopic sigmoid vaginoplasty is a minimally invasive procedure performed in selected Mayer-Rokitansky-Kuster-Hauser syndrome patients and in other conditions when creation of a vagina is indicated. Creation of a colorectal anastomosis is one of the Laparoscopic sigmoid vaginoplasty steps. The biggest disadvantage of it is the enlargement of the portal incision resulting in minilaparotomy to retract the descending colon through the abdominal wall which could lead to postoperative complications. In this report we present a novel perineal approach technique to retract the descending colon for the suture of an anvil in Laparoscopic sigmoid vaginoplasty. Unnecessary enlargement of the port incision or minilaparatomy can be avoided if using this particular technique. A perineal approach technique can be one of the options in Laparoscopic sigmoid vaginoplasty. However, larger numbers of cases are necessary to confirm its benefits.
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institution Kabale University
issn 0390-6663
language English
publishDate 2020-10-01
publisher IMR Press
record_format Article
series Clinical and Experimental Obstetrics & Gynecology
spelling doaj-art-b4253409b86e4f6b8d5bf6dadcf8f2f22025-08-20T03:48:35ZengIMR PressClinical and Experimental Obstetrics & Gynecology0390-66632020-10-0147579779910.31083/j.ceog.2020.05.5433S0390-6663(20)00372-3Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experienceS. Paskauskas0T. Latkauskas1R. Augustis2Z. Dambrauskas3A. Bartusevicius4A. Gaurilcikas5J. Celiesiute6D. Vaitkiene7E. Svedas8M. Gedgaudaite9A. Sukovas10R.J. Nadisauskiene11Lithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaDepartment of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLithuanian University of Health Sciences, Kaunas, 44307, LithuaniaLaparoscopic sigmoid vaginoplasty is a minimally invasive procedure performed in selected Mayer-Rokitansky-Kuster-Hauser syndrome patients and in other conditions when creation of a vagina is indicated. Creation of a colorectal anastomosis is one of the Laparoscopic sigmoid vaginoplasty steps. The biggest disadvantage of it is the enlargement of the portal incision resulting in minilaparotomy to retract the descending colon through the abdominal wall which could lead to postoperative complications. In this report we present a novel perineal approach technique to retract the descending colon for the suture of an anvil in Laparoscopic sigmoid vaginoplasty. Unnecessary enlargement of the port incision or minilaparatomy can be avoided if using this particular technique. A perineal approach technique can be one of the options in Laparoscopic sigmoid vaginoplasty. However, larger numbers of cases are necessary to confirm its benefits.https://www.imrpress.com/journal/CEOG/47/5/10.31083/j.ceog.2020.05.5433laparoscopic sigmoid vaginoplastyperineal approach techniquemayer-rokitansky-kuster-hauser syndrome
spellingShingle S. Paskauskas
T. Latkauskas
R. Augustis
Z. Dambrauskas
A. Bartusevicius
A. Gaurilcikas
J. Celiesiute
D. Vaitkiene
E. Svedas
M. Gedgaudaite
A. Sukovas
R.J. Nadisauskiene
Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
Clinical and Experimental Obstetrics & Gynecology
laparoscopic sigmoid vaginoplasty
perineal approach technique
mayer-rokitansky-kuster-hauser syndrome
title Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
title_full Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
title_fullStr Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
title_full_unstemmed Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
title_short Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
title_sort minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty first experience
topic laparoscopic sigmoid vaginoplasty
perineal approach technique
mayer-rokitansky-kuster-hauser syndrome
url https://www.imrpress.com/journal/CEOG/47/5/10.31083/j.ceog.2020.05.5433
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