Laparoscopically Assisted Colpopoiesis Using the Inverted Sigmoid Colon Graft in a Patient with Mayer-Rokitansky-Küster-Hauser Syndrome

Abstract

Mayer-Rokitansky-Küster-Hauser syndrome is a müllerian duct agenesis and occurs once in 4,000 to 5,000 births. Approximately one third of cases are associated with renal anomalies, such as ectopic kidney, renal agenesis, horseshoe kidney, pelvic kidney, and bifid ureter or duplication. The typical clinical finding is partial or complete agenesis of the uterus, with an absence or hypoplasty of the vagina. Several methods have been proposed to compensate for congenital absence of the vagina in Mayer-Rokitansky-Küster-Hauser syndrome. The authors have adopted a modification of the Ruge technique using the sigmoid colon (RugeHata method). In the Ruge-Hata method, an inverted graft is sutured to the vaginal canal because of graft vascularization. Recently, Davydov's technique, in which the peritoneum is pulled and sutured to the new vaginal cavity, has been introduced under laparoscopy.5 In this case, the authors tried to perform minimally invasive surgery using laparoscopy for the purpose of satisfactory vaginal function and minimal complication.