New modified laparoscopic Davydov’s method using the rudimentary uterus

Authors

  • Aki Takase Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Akihiro Hamuro Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Megumi Ashimura Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Natusko Yokoi Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Takuya Misugi Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Daisuke Tachibana Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan
  • Masayasu Koyama Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine, Osaka, Japan

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182913

Keywords:

Laparoscopic Davydov's method, Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, Neovagina, Rudimentary uterus

Abstract

Among surgical procedures of Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, the laparoscopic Davydov's technique seems to offer the most feasible and effective approach for creating a neovagina. Several reports have pointed at the necessity for mobilization of the peritoneum to obtain a longer neovagina and have reported a modified laparoscopic Davydov’s method. A new method was performed for a 24- and an 18-year-old patient. The most significant method in present procedure was to leave the thickened tissue that connects both rudimentary uteruses. The advantages of present procedure are physiological, creating a longer neovagina. Furthermore, this approach may help prevent prolapse of pelvic organs by leaving the thickened tissue as a ceiling.

References

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Published

2018-06-27

Issue

Section

Case Reports