Vaginal agenesis is not rare. The modified laparoscopic Vecchietti procedure is gaining popularity as surgical
modality to correct the structural abnormality and restore sexual function.
To enhance the modified laparoscopic Vecchietti procedure.
A case series of five women with vaginal agenesis at the Department of Obstetrics and Gynecology, King Abdulaziz
University Hospital, Jeddah, Saudi Arabia underwent the modified laparoscopic Vecchietti procedure with intra-peritoneal
placement of sutures. This involves perforation of the vaginal dimple by a straight thread guide with two threads attached to the
olive followed by pulling the two threads intra-peritoneally and through the abdominal wall to the traction device by grasping
instruments under laparoscopic control.
Intra-peritoneal placement of the sutures was easily done without complications in all five women. After 5 postoperative
days, the average vaginal length was 6-7 cm. Two women were able to have vaginal intercourse without problems.
Intra-peritoneal placement of sutures makes the modified laparoscopic Vecchietti procedure easy, fast, and
appealing. Furthermore, it avoids potential damage to the vital structures at the pelvic side walls.
Keywords: Vaginal agenesis, Vecchietti procedure, Intraperitoneal suture approach
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