Laparoscopic hysterectomy and assisted Vecchietti procedure to treat congenital cervical and vaginal atresia

Objective To report a case of complete cervical and vaginal atresia treated by laparoscopic hysterectomy and assisted Vecchietti procedure. Subject An 18-year-old woman requesting formation of a neovagina. The initi al diagnosis of cervical and vaginal atresia had been made by ultrasound an d confirmed by laparoscopy when the patient was aged 15 years. Results: No intra- or postoperative complications were recorded. A neovagin a with a depth of 7 cm and width of 1.5 cm was created. Subsequent use of v aginal dilators produced a functional vagina at 6 weeks postoperatively Conclusion The use of laparoscopy to treat Mullerian anomalies, with the be nefits of reduced postoperative morbidity and excellent cosmesis, should be supported.