腟欠損症に対して腹腔鏡補助下造腟術(Davydov 変法)を施行した1例

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Objective: Numerous surgical and nonsurgical procedures aimed at creating a neovagina in patients with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH syndrome) have been described. Surgery is required to create a neovagina with adequate size and physiological function for performance of normal sexual intercourse. We report a case of MRKH syndrome treated by the Davydovs laparoscopic procedure to evaluate the anatomic and functional performance of a neovagina.Case: We present the case of a 26-year-old nulliparous (46,XX) woman who was initially diagnosed with MRKH syndrome at 18 years of age. Magnetic resonance imaging showed absence of vagina and uterus, but both the ovaries were normal. She underwent the Davydovs modified laparoscopic technique. A vaginal dilator was used to maintain the neovagina postoperatively. She was able to successfully perform sexual intercourse 6 months after the surgery.Conclusion: Davydovs modified laparoscopic technique is a minimally invasive, safe, effective treatment option for creating a neovagina in patients with MRKH syndrome.
日本産科婦人科内視鏡学会の論文
2010-12-01