Prof. Pravin Mhatre
New Laparoscopic Peritoneal Vaginoplasty Technique
1Department of Obstertics and Gynecology, Seth G.S. Medical College, N. Wadia Hospital
2Consultant Obstertician and Gynecologist, Kedar Hospital
3Ovarian Transplant Surgeon
4Consultant Obstetrician and Gynecologists, Hiranandani Hospital
Mumbai, Maharashtra, India
BACKGROUND: Many reconstructive surgical procedures have been described for vaginal agenesis. Almost all of them are surgically challenging, multi-staged, time consuming or leave permanent scars on abdomen or skin retrieval sites.
AIM: A new simple technique using laparoscopic peritoneal pull-through in creation of neo vagina has been described.
MATERIAL AND METHODS: Total of thirtysix patients with congenital absence of vagina (MRKH syndrome) were treated with laparoscopic peritoneal pull through technique of Dr. Mhatre between 2003 till 2012. The author has described 3 different techniques of peritoneal vaginoplasty.
RESULTS: This technique has given excellent results over a period of one to seven years of follow-up. The peritoneal lining changes to stratified squamous epithelium resembling normal vagina and having acidic Ph.
CONCLUSION: Apart from giving excellent normal vaginal function, as the ovary became accessible per vaginum three patients underwent ovum retrieval and pregnancy using surrogate mother, thus making this a fertility enhancing procedure.
KEY WORDS: Absent vagina, Mayer rokitansky, Kustner hauser, Primary amenorrhoea, Vaginoplasty peritoneal
*Address for Correspondence:
Dr. Pravin Mahtre, 9/2nd Floor, Mohan Niwas Keluskar Road, Shivaji Park, Mumbai – 400 028, Maharashtra, India