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Title: ROBOTIC ASSISTED SIGMOID VAGINOPLASTY IN CASE OF MRKH SYNDROME
e-poster Number: EP 176
Category: Endoscopy and Gynecologic Surgery
Author Name: Dr. Suruchi Desai
Institute: Nanavati Max Super Speciality Hospital
Co-Author Name:
Abstract :
ROBOTIC ASSISSTED SIGMOID VAGINOPLASTY IN A CASE OF MRKH .
Abstract Introduction -Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is characterized by congenital aplasia of the uterus and upper 2/3 of the vagina, with normal female secondary sexual characteristics and a normal karyotype (46, XX). The frequency is 1/4500?5000 female births
CASE ? 34 YEARS OLD, MARRIED SINCE 5 YEARS, WITH PASSED TWO FAILED ATTEMPT AT VAGINOPLASTY IN A K/C/O MRKH WALKS IN OPD WITH PIMARY COMPLAINT OF UNABLE TO HAVE PENETRATIVE INTERCOURSE, SECONDARY SEXUAL CHARACTERS WELL DEVELOPED.
METHOD ? DECISION FOR ROBOTIC ASSISTED SIGMOID VAGINOPLASTY WAS TAKEN.INTRA-OP FINDINGS SUGGESTIVE OF ATROPHIC UNICORNUATE UTERUS WITH NORMAL OVARIES.CONSENT WAS TAKEN FOR HSYTERECTOMY . ALONG WITH SURGEON A LARGE SEGMENT OF SIGMOID MEASURING 10-15 CMS WAS MOBILISED BY RESECTION ANASTOMOSIS USING THE DA VINCI ROBOT AND NEO VAGINA WAS CREATED. Functional neovagina was created 11?15 cm in length and two fingers in breadth.
RESULTS -No introitus stenosis was observed. No intra- or post-operative complications occurred. HOWEVER BECAUSE OF THE USE OF SIGMOID COLON , THEY DO EXPERIENCE EXCESS OF SECRETIONS FOR INITIAL FEW WEEKS.. . The cosmetic results were excellent.
Conclusions The ROBOTIC sigmoid vaginoplasty can achieve the goal of making a functional neovagina. The main advantage of this surgical technique is that it is minimally invasive with an operating time of 5 hours 35mins and that there are fewer complications post-operation following . It is an acceptable procedure for patients with MRKH syndrome.
Keywords Mayer?Rokitansky?Kuster?Hauser syndrome ? Laparoscope ? Sigmoid colon ? Vaginoplasty
