Fedele L, Bianchi S, Tozzi L, Borruto F, Vignali M
Department of Obstetrics and Gynecology, University of Verona, Policlinico Borgoroma, Italy.
Fertil Steril. 1996 Nov;66(5):854-7. doi: 10.1016/s0015-0282(16)58653-1.
To evaluate the results of a new laparoscopic technique for the creation of a neovagina in women with Rokitansky syndrome.
Open noncomparative clinical study.
Tertiary care center.
PATIENT(S): Fourteen patients with Rokitansky syndrome, aged 15 to 34 years, desiring to have sexual relations.
INTERVENTION(S): The patients underwent creation of a neovagina at laparoscopy by a modification of Vecchietti's technique.
MAIN OUTCOME MEASURE(S): At the clinical examinations performed during the follow up (ranging from 6 to 24 months), the patients reported the frequency, satisfaction, and any difficulties found at intercourse. At each examination, the depth and diameter of the neovagina was determined. The characteristics of the neovaginal mucosa were investigated by vaginoscopy.
RESULTS(S): No intraoperative and postoperative complications were observed. The patients considered the discomfort caused by the Vecchietti's device and the daily tractions acceptable. In all the patients the mucosa was pink, trophic, and moist 3 months after the operation. Two fingers were introduced easily into the neovagina in all cases, and the mean length was 8.1 +/- 1.1 cm. All but one patient defined their sexual intercourse as satisfying within 6 months from the intervention.
CONCLUSION(S): In light of the results obtained in the present series, we consider that, because of its efficacy, rapidity, and safety, the laparoscopic surgical method used by us may be suggested as the treatment of choice to correct Rokitansky syndrome.
评估一种用于为 Rokitansky 综合征女性创建新阴道的新型腹腔镜技术的效果。
开放性非对照临床研究。
三级医疗中心。
14 名年龄在 15 至 34 岁之间、渴望进行性行为的 Rokitansky 综合征患者。
患者通过改良 Vecchietti 技术在腹腔镜下进行新阴道创建。
在随访期间（6 至 24 个月）进行临床检查时，患者报告性交时的频率、满意度以及发现的任何困难。每次检查时确定新阴道的深度和直径。通过阴道镜检查新阴道黏膜的特征。
未观察到术中及术后并发症。患者认为 Vecchietti 装置引起的不适和日常牵引是可以接受的。术后 3 个月，所有患者的黏膜均呈粉红色、营养良好且湿润。所有病例均能轻松将两指插入新阴道，平均长度为 8.1±1.1 cm。除 1 名患者外，所有患者在干预后 6 个月内都认为他们的性交令人满意。
鉴于本系列所取得的结果，我们认为，由于其有效性、快速性和安全性，可以建议将我们所采用的腹腔镜手术方法作为矫正 Rokitansky 综合征的首选治疗方法。
