Publication:
Anatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with mayer-rokitansky-kuster-hauser syndrome: Uncu modification

dc.contributor.authorAta, Barış
dc.contributor.buuauthorUncu, Gürkan
dc.contributor.buuauthorÖzerkan, Kemal
dc.contributor.buuauthorKasapoğlu, Işıl
dc.contributor.buuauthorAtalay, Mehmet Aral
dc.contributor.buuauthorOrhan, Adnan
dc.contributor.buuauthorAslan, Kiper
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentKadın Hastalıkları ve Doğum Ana Bilim Dalı
dc.contributor.orcid0000-0002-7558-8166
dc.contributor.orcid0000-0002-9277-7735
dc.contributor.researcheridAAT-3479-2021
dc.contributor.researcheridV-5292-2019
dc.contributor.researcheridAAH-9694-2021
dc.contributor.researcheridAAH-9791-2021
dc.contributor.researcheridAER-7173-2022
dc.contributor.scopusid6603716169
dc.contributor.scopusid6603345841
dc.contributor.scopusid55800494800
dc.contributor.scopusid53863297800
dc.contributor.scopusid56671094200
dc.contributor.scopusid56740498500
dc.date.accessioned2023-10-31T11:40:00Z
dc.date.available2023-10-31T11:40:00Z
dc.date.issued2018
dc.description.abstractObjective: To describe modifications to the double-layer peritoneal pull-down laparoscopic vaginoplasty technique (Davydov operation) and evaluate anatomic and functional outcomes of the new technique, known as the Uncu modification. Design: Case series (Canadian Task Force classification III). Setting: Tertiary care university hospital. Patients: Women with Mayer-Rokitansky-Kuster-Hauser syndrome (MRKHS) who underwent surgery between 2010 and 2016. Interventions: Laparoscopic double-layer peritoneal pull-down vaginoplasty with paramesonephric remnant support to the neovagina. Measurements and Main Results: Long-term anatomic and functional satisfaction results. Twenty-seven women with MRKHS underwent surgery with the Uncu-modified Davydov procedure. At 1 year after surgery, the mean vaginal length in these patients was 7.91 +/- 1.4 cm. Among the 23 patients who had regular vaginal intercourse, the mean functional satisfaction score was 8.65 +/- 1.2. One patient had a perioperative bladder injury, and another patient had a rectovaginal fistula at 3 months after the operation. One woman who did not comply with the prescribed postoperative mold exercises had complete closure of the introitus. Conclusion: The Uncu modified laparoscopic double-layer peritoneal pull-down technique appears to be an effective and safe surgical management option that is easy to learn and perform by gynecologic surgeons.
dc.identifier.citationUncu, G. vd. (2018). ''Anatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with mayer-rokitansky-kuster-hauser syndrome: Uncu modification''. Journal of Minimally Invasive Gynecology, 25(3), 498-506.
dc.identifier.endpage506
dc.identifier.issn1553-4650
dc.identifier.issn1553-4669
dc.identifier.issue3
dc.identifier.pubmed29056568
dc.identifier.scopus2-s2.0-85034959323
dc.identifier.startpage498
dc.identifier.urihttps://doi.org/10.1016/j.jmig.2017.10.015
dc.identifier.urihttps://www.sciencedirect.com/science/article/abs/pii/S1553465017312505
dc.identifier.urihttp://hdl.handle.net/11452/34694
dc.identifier.volume25
dc.identifier.wos000427520900034
dc.indexed.wosSCIE
dc.language.isoen
dc.publisherElsevier
dc.relation.collaborationYurt içi
dc.relation.journalJournal of Minimally Invasive Gynecology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectObstetrics & gynecology
dc.subjectMayer-rokitansky-kuster-hauser syndrome
dc.subjectLaparoscopic vaginoplasty
dc.subjectNeovagina
dc.subjectCongenital absence
dc.subjectVaginal agenesis
dc.subjectConstruction
dc.subjectManagement
dc.subjectDilation
dc.subjectDavydov
dc.subjectGraft
dc.subject.emtreeAdult
dc.subject.emtreeArticle
dc.subject.emtreeBladder injury
dc.subject.emtreeClinical article
dc.subject.emtreeClinical outcome
dc.subject.emtreeCoitus
dc.subject.emtreeExercise
dc.subject.emtreeFemale
dc.subject.emtreeFunctional status
dc.subject.emtreeHuman
dc.subject.emtreeLaparoscopic surgery
dc.subject.emtreeLength
dc.subject.emtreeMuellerian duct
dc.subject.emtreePatient compliance
dc.subject.emtreePatient satisfaction
dc.subject.emtreePeroperative complication
dc.subject.emtreePostoperative complication
dc.subject.emtreeRectovaginal fistula
dc.subject.emtreeRokitansky syndrome
dc.subject.emtreeSexual dysfunction
dc.subject.emtreeSexual satisfaction
dc.subject.emtreeStenosis
dc.subject.emtreeSurgical anatomy
dc.subject.emtreeTertiary health care
dc.subject.emtreeUncu modified laparoscopic double layer peritoneal pull down vaginoplasty
dc.subject.emtreeUniversity hospital
dc.subject.emtreeVagina
dc.subject.emtreeVagina discharge
dc.subject.emtreeVagina reconstruction
dc.subject.emtreeAbnormalities
dc.subject.emtreeCongenital disorder
dc.subject.emtreeGisorder of sex development
dc.subject.emtreeEvaluation study
dc.subject.emtreeGynecologic surgery
dc.subject.emtreeLaparoscopy
dc.subject.emtreeMuellerian duct
dc.subject.emtreePeritoneum
dc.subject.emtreePostoperative care
dc.subject.emtreePostoperative complication
dc.subject.emtreePostoperative period
dc.subject.emtreeProcedures; psychology
dc.subject.emtreeRectovaginal fistula
dc.subject.emtreeTreatment outcome
dc.subject.mesh46, XX disorders of sex development
dc.subject.meshAdult
dc.subject.meshCoitus
dc.subject.meshCongenital abnormalities
dc.subject.meshFemale
dc.subject.meshGynecologic surgical procedures
dc.subject.meshHumans
dc.subject.meshLaparoscopy
dc.subject.meshMullerian ducts
dc.subject.meshPatient satisfaction
dc.subject.meshPeritoneum
dc.subject.meshPostoperative care
dc.subject.meshPostoperative complications
dc.subject.meshPostoperative period
dc.subject.meshRectovaginal fistula
dc.subject.meshTreatment outcome
dc.subject.meshVagina
dc.subject.scopusMullerian Aplasia; Sex Reassignment Surgery; Vagina Reconstruction
dc.subject.wosObstetrics & Gynecology
dc.titleAnatomic and functional outcomes of paramesonephric remnant-supported laparoscopic double-layer peritoneal pull-down vaginoplasty technique in patients with mayer-rokitansky-kuster-hauser syndrome: Uncu modification
dc.typeArticle
dc.wos.quartileQ2
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Kadın Hastalıkları ve Doğum Ana Bilim Dalı
local.indexed.atScopus
local.indexed.atWOS

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