THE VECCHIETTI OPERATION FOR CONSTRUCTING A NEOVAGINA - INDICATIONS, INSTRUMENTATION, AND TECHNIQUES

The Vecchietti method is a surgical technique for the treatment of vag inal agenesis that constructs a dilation-type neovagina in 7-9 days. W e have performed the Vecchietti operation on six patients. The method was applied to create a primary neovagina, to lengthen a surgically fo reshortened vagina, and to reconstruct an obliterated neovagina with o r without the presence of a uterus. Two patients underwent the convent ional transabdominal approach, and four, laparoscopy. Follow-up was 7- 39 months, and neovaginal depth was 8.0-10.6 cm. The anatomic and func tional results in all patients were excellent. (C) 1997 by The America n College of Obstetricians and Gynecologists.