Publication:
Anatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with Mayer-Rokitansky-Küster-Hauser Syndrome: Uncu modification

dc.contributor.coauthorUncu, Gurkan
dc.contributor.coauthorOzerkan, Kemal
dc.contributor.coauthorKasapoglu, Isil
dc.contributor.coauthorAtalay, Mehmet Aral
dc.contributor.coauthorOrhan, Adnan
dc.contributor.coauthorAslan, Kiper
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorAta, Mustafa Barış
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T23:44:56Z
dc.date.issued2018
dc.description.abstractObjective: To describe modifications to the double-layer peritoneal pull-down laparoscopic vaginoplasty technique (Davydov operation) and evaluate anatomic and functional outcomes of the new technique, known as the Uncu modification. Design: Case series (Canadian Task Force classification III). Setting: Tertiary care university hospital. Patients: Women with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) who underwent surgery between 2010 and 2016. Interventions: Laparoscopic double-layer peritoneal pull-down vaginoplasty with paramesonephric remnant support to the neovagina. Measurements and Main Results: Long-term anatomic and functional satisfaction results. Twenty-seven women with MRKHS underwent surgery with the Uncu-modified Davydov procedure. At 1 year after surgery, the mean vaginal length in these patients was 7.91 +/- 1.4 cm. Among the 23 patients who had regular vaginal intercourse, the mean functional satisfaction score was 8.65 +/- 1.2. One patient had a perioperative bladder injury, and another patient had a rectovaginal fistula at 3 months after the operation. One woman who did not comply with the prescribed postoperative mold exercises had complete closure of the introitus. Conclusion: The Uncu modified laparoscopic double-layer peritoneal pull-down technique appears to be an effective and safe surgical management option that is easy to learn and perform by gynecologic surgeons.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue3
dc.description.openaccessNO
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume25
dc.identifier.doi10.1016/j.jmig.2017.10.015
dc.identifier.eissn1553-4669
dc.identifier.issn1553-4650
dc.identifier.scopus2-s2.0-85034959323
dc.identifier.urihttps://doi.org/10.1016/j.jmig.2017.10.015
dc.identifier.urihttps://hdl.handle.net/20.500.14288/13752
dc.identifier.wos427520900034
dc.keywordsMayer-Rokitansky-Kuster-Hauser syndrome
dc.keywordsLaparoscopic vaginoplasty
dc.keywordsNeovagina congenital absence
dc.keywordsVaginal hypoplasia
dc.keywordsManagement
dc.keywordsComplications
dc.keywordsConstruction
dc.keywordsDilation
dc.keywordsAgenesis
dc.keywordsDavydov
dc.keywordsGraft
dc.language.isoeng
dc.publisherElsevier Science Inc
dc.relation.ispartofJournal of Minimally Invasive Gynecology
dc.subjectObstetrics
dc.subjectGynecology
dc.titleAnatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with Mayer-Rokitansky-Küster-Hauser Syndrome: Uncu modification
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAta, Mustafa Barış
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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