Panwar Vikas Kumar, Heda Ayush, Singh Gupchee, Bahadur Anupama
Urology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
BMJ Case Rep. 2025 Jan 21;18(1):e262794. doi: 10.1136/bcr-2024-262794.
Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a disorder marked by the congenital absence of the uterus and vagina. Patients with this condition often present with primary amenorrhoea and normal secondary sexual characteristics. The diagnosis of MRKH syndrome has profound implications for a patient's fertility and psychological well-being, necessitating a multidisciplinary approach that includes psychosocial support. We present a case of a young woman with MRKH syndrome who underwent robot-assisted Davydov's vaginoplasty for neovaginal creation. The procedure used the enhanced precision and visualisation of robotic technology, resulting in the successful formation of a 7 cm neovagina with minimal postoperative complications. The robotic approach to Davydov vaginoplasty, though relatively unexplored in MRKH syndrome, presents several advantages over conventional methods, including greater surgical precision, reduced operative time and quicker recovery. This case highlights the potential benefits of robotic-assisted surgery in MRKH syndrome, offering improved outcomes and contributing to the limited literature on this advanced surgical approach.
Mayer-Rokitansky-Küster-Hauser（MRKH）综合征是一种以先天性子宫和阴道缺如为特征的疾病。患有这种疾病的患者通常表现为原发性闭经且第二性征正常。MRKH综合征的诊断对患者的生育能力和心理健康有着深远影响，因此需要采取包括心理社会支持在内的多学科方法。我们报告一例患有MRKH综合征的年轻女性病例，该患者接受了机器人辅助的达维多夫阴道成形术以创建新阴道。该手术利用了机器人技术更高的精准度和可视化效果，成功形成了一个7厘米的新阴道，术后并发症极少。机器人辅助达维多夫阴道成形术在MRKH综合征中的应用相对较少探索，但与传统方法相比具有几个优点，包括更高的手术精准度、缩短手术时间和更快的恢复。该病例突出了机器人辅助手术在MRKH综合征中的潜在益处，提供了更好的治疗效果，并为关于这种先进手术方法的有限文献做出了贡献。
