Operación de Vecchietti por laparoscopia para la creación de una neovagina en el síndrome de Mayer-Rokitansky-Kuster-Hauser. Evaluación anatomicofuncional

Article information

Resumen

Objetivo

Analizar los resultados anatomicofuncionales de la operación de Vecchietti por laparoscopia para la creación de una neovagina

Material y métodos

Estudio tipo caso-control: grupo caso formado por 6 pacientes con el síndrome de Rokitansky a las que se creó una neovagina según la técnica de Vecchietti por laparoscopia; grupo control formado por un histórico de 5 pacientes intervenidas según la técnica de McIndoe. Se analizaron las variables: tiempo y complicaciones quirúrgicas, tiempo de estancia hospitalaria, complicaciones posquirúrgicas y longitud de vagina. Los resultados funcionales se analizaron mediante un cuestionario de sexualidad (FSFI)

Resultados

Ambos grupos presentaron resultados anatómicos similares. Se hallaron diferencias significativas en el tiempo de ingreso hospitalario y en las complicaciones posquirúrgicas. Los resultados funcionales en las pacientes con relaciones sexuales activas fueron similares a la población normal

Conclusión

Con la técnica de Vecchietti por laparoscopia, se obtienen buenos resultados anatómicos y funcionales, se reducen el tiempo de ingreso hospitalario y las complicaciones posquirúrgicas

Palabras Clave:

Síndrome de Rokitansky

Neovagina

Técnica de Vecchietti

Sexualidad

Abstract

Objective

To analyze the anatomical and functional results of laparoscopic Vecchietti’s technique for constructing a neovagina

Material and methods

A case-control study was performed. The case group was composed of 6 patients with Rokitansky’s syndrome who underwent laparoscopic Vecchietti’s procedure. The control group was composed of a historic control group of 5 patients who underwent McIndoe’s technique. The variables analyzed were operating time, surgical and postsurgical complications, length of hospital stay, and vaginal length. Functional results were evaluated using the Female Sexual Function Index (FSFI)

Results

Anatomic results were similar in both groups. Significant differences were found in length of hospital stay and postsurgical complications. Functional results in patients with active sexual relationships were similar to those in the normal population

Conclusion

Laparoscopic Vecchietti’s technique produces satisfactory anatomic and functional results and reduces postsurgical complications and length of hospital stay

Key Words:

Rokitansky’s syndrome

Neovagina

Vecchietti’s technique

Sexuality

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