Harry Reich

Use of laparoscopically mobilized peritoneum in the creation of a neovagina

OBJECTIVE To present an alternative technique for the creation of a neovagina. DESIGN Case study. SETTING Academic university gynecology clinic. PATIENT(S) A patient diagnosed with müllerian agenesis. INTERVENTION(S) Laparoscopically assisted creation of a neovagina by using peritoneum. MAIN OUTCOME MEASURE(S) Patient morbidity and satisfactory intercourse. RESULT(S) The patient underwent the procedure satisfactorily and was discharged within 24 hours. She had no perioperative or postoperative complications, and she became satisfactorily sexually active. CONCLUSION(S) The use of laparoscopically mobilized peritoneum in the creation of a neovagina provided the patient with a functional vagina, allowing satisfactory intercourse.

Laparoscopic Hysterectomy: The Big Cutoff in Laparoscopic Surgery Development

Laparoscopic hysterectomy, defined as the laparoscopic ligation of the uterine vessels, is a substitute for abdominal hysterectomy, with more attention to ureteral identification and cuff suspension. Laparoscopic hysterectomy (LH) is rarely indicated for the treatment of abnormal uterine bleeding (AUB) from a normal-sized uterus with no other associated pathologies! Most of these cases can be done vaginally without the use of a laparoscope [1].