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Clinical and Experimental Obstetrics & Gynecology  2020, Vol. 47 Issue (5): 797-799    DOI: 10.31083/j.ceog.2020.05.5433
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Minilaparatomy is avoidable during laparoscopic sigmoid vaginoplasty: first experience
S. Paskauskas1, 2, *(), T. Latkauskas1, 3, R. Augustis2, Z. Dambrauskas1, 3, A. Bartusevicius1, 2, A. Gaurilcikas1, 2, J. Celiesiute1, 2, D. Vaitkiene1, 2, E. Svedas1, 2, M. Gedgaudaite1, 2, A. Sukovas1, 2, R.J. Nadisauskiene1, 2
1Lithuanian University of Health Sciences, Kaunas, 44307, Lithuania
2Department of Obstetrics and Gynaecology, Lithuanian University of Health Sciences, Kaunas, 44307, Lithuania
3Department of Surgery, Lithuanian University of Health Sciences, Kaunas, 44307, Lithuania
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Abstract  
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.
Key words:  Laparoscopic sigmoid vaginoplasty      Perineal approach technique      Mayer–Rokitansky–Kuster–Hauser syndrome     
Submitted:  19 November 2019      Accepted:  26 April 2020      Published:  15 October 2020     
*Corresponding Author(s):  SAULIUS PASKAUSKAS     E-mail:  sauliuspaskauskas@yahoo.com

Cite this article: 

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, 2020, 47(5): 797-799.

URL: 

https://ceog.imrpress.com/EN/10.31083/j.ceog.2020.05.5433     OR     https://ceog.imrpress.com/EN/Y2020/V47/I5/797

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