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Published in: Journal of Robotic Surgery 4/2008

01-12-2008 | Original Article

Robot-assisted vaginal construction using ileum in a case of Mayer–Rokitansky–Küster–Hauser syndrome

Authors: Tristan Berry, Christopher Tepera, Uri Gur, Michael Fabrizio, Gerald Jordan

Published in: Journal of Robotic Surgery | Issue 4/2008

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Abstract

Congenital absence of the vagina is a rare condition commonly associated with Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome, Morris Syndrome, and XY sex reversal. Secondarily this condition may be caused by exenteration of various pelvic tumors. Surgical options for treating this devastating condition include external vaginal dilation, internal dilation using traction devices, and vaginal construction using flaps of skin, bladder, or various bowel segments. We describe our innovative surgical technique employing robotic assistance in the creation of a neo-vagina for a young woman with MRKH syndrome. To the best of our knowledge this is the first report of this surgical technique.
Literature
1.
go back to reference Carter S, Gross S (2007) Mayer-Rokitansky Syndrome (eMedicine) Carter S, Gross S (2007) Mayer-Rokitansky Syndrome (eMedicine)
2.
go back to reference Reiley E, Gjertson C, Hensle T (2005) Vaginal reconstruction: a review. AUA Update Series Lesson 29, vol 24 Reiley E, Gjertson C, Hensle T (2005) Vaginal reconstruction: a review. AUA Update Series Lesson 29, vol 24
3.
go back to reference Cai B, Zhang JR, Xi XW, Yan Q, Wan XP (2007) Laparoscopically assisted sigmoid colon vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome: feasibility and short term results. BJOG 114(12):1486–1492PubMedCrossRef Cai B, Zhang JR, Xi XW, Yan Q, Wan XP (2007) Laparoscopically assisted sigmoid colon vaginoplasty in women with Mayer-Rokitansky-Kuster-Hauser syndrome: feasibility and short term results. BJOG 114(12):1486–1492PubMedCrossRef
5.
go back to reference Rajimwale A, Furness PD, Brant WO, Koyle MA (2004) Vaginal construction using sigmoid colon in children and young adults. BJU Int 94(7):1143–1144 Rajimwale A, Furness PD, Brant WO, Koyle MA (2004) Vaginal construction using sigmoid colon in children and young adults. BJU Int 94(7):1143–1144
8.
go back to reference Parsons JK, Gearhart SL, Gearhart JP (2002) Vaginal reconstruction utilizing sigmoid colon: complications and long term results. J Pediatr Surg 37(4):629–633PubMedCrossRef Parsons JK, Gearhart SL, Gearhart JP (2002) Vaginal reconstruction utilizing sigmoid colon: complications and long term results. J Pediatr Surg 37(4):629–633PubMedCrossRef
9.
go back to reference Hendren WH, Atala A (1994) Use of bowel for vaginal reconstruction. J Urol 152(2 Pt 2):752–755PubMed Hendren WH, Atala A (1994) Use of bowel for vaginal reconstruction. J Urol 152(2 Pt 2):752–755PubMed
12.
go back to reference Bajos-Arenas, et al. (2006) Laparoscopic creation of a neovagina in Mayer-Rokitansky- Kuster-Hauser syndrome by modified Vecchietti procedure. Eur J Obstet Gynecol Reprod Biol 127(2):240–243. doi:10.1016/j.ejogrb.2005.11.039 Bajos-Arenas, et al. (2006) Laparoscopic creation of a neovagina in Mayer-Rokitansky- Kuster-Hauser syndrome by modified Vecchietti procedure. Eur J Obstet Gynecol Reprod Biol 127(2):240–243. doi:10.​1016/​j.​ejogrb.​2005.​11.​039
13.
go back to reference Dural E, Toullalan O, Besse O, Potiron L, Delga P (2003) Anatomic and functional results of laparoscopic and perineal neovaginia construction by sigmoid colpoplasty in women with Rokitansky’s syndrome. Hum Reprod 18(11):2454–2459. doi:10.1093/humrep/deg443 CrossRef Dural E, Toullalan O, Besse O, Potiron L, Delga P (2003) Anatomic and functional results of laparoscopic and perineal neovaginia construction by sigmoid colpoplasty in women with Rokitansky’s syndrome. Hum Reprod 18(11):2454–2459. doi:10.​1093/​humrep/​deg443 CrossRef
Metadata
Title
Robot-assisted vaginal construction using ileum in a case of Mayer–Rokitansky–Küster–Hauser syndrome
Authors
Tristan Berry
Christopher Tepera
Uri Gur
Michael Fabrizio
Gerald Jordan
Publication date
01-12-2008
Publisher
Springer-Verlag
Published in
Journal of Robotic Surgery / Issue 4/2008
Print ISSN: 1863-2483
Electronic ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-008-0112-8

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