{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:23:04Z","timestamp":1740176584676,"version":"3.37.3"},"reference-count":15,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivo: describir la t\u00e9cnica de vaginoplastia de Vecchietti (TVV) en pacientes diagnosticadas con agenesia vaginal secundaria y hacer una aproximaci\u00f3n a la seguridad y eficacia de esta t\u00e9cnica. Materiales y m\u00e9todos: cohorte hist\u00f3rica de pacientes con agenesia vaginal secundaria al s\u00edndrome de Mayer-Rokitansky-Kuster-Hauser y al s\u00edndrome de insensibilidad androg\u00e9nica, a quienes se les realiz\u00f3 vaginoplastia por t\u00e9cnica de Vecchietti en el Hospital Universitario San Vicente Fundaci\u00f3n, instituci\u00f3n de referencia, de alta complejidad, en el periodo 2007 a 2012. Se excluyeron quienes ten\u00edan una vagina funcional para relaciones coitales. Muestreo consecutivo. Se midieron variables sociodemogr\u00e1ficas, cl\u00ednicas, de seguridad y de eficacia. Se utiliz\u00f3 estad\u00edstica descriptiva. Resultados: el principal motivo de consulta fue la amenorrea primaria (69,2 %). Las malformaciones asociadas fueron agenesia renal derecha (15,4 %) y malformaciones esquel\u00e9ticas (15,4 %). Se present\u00f3 una perforaci\u00f3n intraoperatoria de la vejiga y tres complicaciones menores (23,1 %) en el posoperatorio. En el 84,6 % de ellas se obtuvo una vagina funcional a un a\u00f1o de seguimiento. Conclusiones: la TVV es una t\u00e9cnica quir\u00fargica simple que ha permitido obtener resultados funcionales satisfactorios con complicaciones menores. Se requieren estudios con grupo control para tener una mejor evaluaci\u00f3n de la eficacia de las diferentes t\u00e9cnicas de construcci\u00f3n de la neovagina.<\/jats:p>","DOI":"10.18597\/rcog.3177","type":"journal-article","created":{"date-parts":[[2019,10,17]],"date-time":"2019-10-17T13:31:26Z","timestamp":1571319086000},"page":"165-173","source":"Crossref","is-referenced-by-count":0,"title":["Seguridad y eficacia de la vaginoplastia de Vecchietti en agenesia vaginal: estudio de cohorte, en Medell\u00edn, Colombia, 2007 a 2012"],"prefix":"10.18597","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0141-9623","authenticated-orcid":false,"given":"Jorge Enrique","family":"Aristiz\u00e1bal-Duque","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5663-8781","authenticated-orcid":false,"given":"Joan Camilo","family":"Piedrah\u00edta-Mej\u00eda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2019,9,30]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Capraro VJ, Gallego MB (1976) Vaginal agenesis. Am J Obstet Gynecol. 1976;124(1):98-107. DOI: https:\/\/doi.org\/10.1016\/0002-9378(76)90020-X","DOI":"10.1016\/0002-9378(76)90020-X"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Michala L, Cutner A, Creighton SM. Surgical approaches to treating vaginal agenesis. BJOG. 2007;114(12):1455-9. https:\/\/doi.org\/10.1111\/j.1471-0528.2007.01547.x","DOI":"10.1111\/j.1471-0528.2007.01547.x"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Creatsas G, Deligeoroglou E. Vaginal aplasia and reconstruction. Best Pract Res Clin Obstet Gynaecol. 2010;24(2):185-91. https:\/\/doi.org\/10.1016\/j.bpobgyn.2009.11.002","DOI":"10.1016\/j.bpobgyn.2009.11.002"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Bouman M, van Zeijl MC, Buncamper ME, et al. Intestinal vaginoplasty revisited: A review of surgical techniques, complications, and sexual function. J Sex Med. 2014;11: 1835-47. https:\/\/doi.org\/10.1111\/jsm.12538","DOI":"10.1111\/jsm.12538"},{"key":"ref4","unstructured":"Pravin M, Jyoti M, Rakhi S. New laparoscopic peritoneal pull-through vaginoplasty technique. Reprod Sci. 2014;24(6):181-6."},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Edmons DK, Rose GL, Lipton MG, Quek J. Mayer- Rokitansky-K\u00fcster-Hauser Syndrome: A review of 245 consecutive cases managed by a multidisciplinary approach with vaginal dilators. Fertil Steril. 2012;97(3):686-90. https:\/\/doi.org\/10.1016\/j.fertnstert.2011.12.038","DOI":"10.1016\/j.fertnstert.2011.12.038"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"ACOG Committee on Adolescent Health Care. ACOG Committee Opinion. Nonsurgical diagnosis and management of vaginal agenesis. Obstet Gynecol. 2002;100(1):213-6. https:\/\/doi.org\/10.1097\/00006250-200207000-00034","DOI":"10.1097\/00006250-200207000-00034"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Kuhn A, Neukomm C, Dreher EF, Imobersteg J, Mueller MD. Prolapse and sexual function 8 years after neovagina according to Shears: A study of 43 cases with Mayer-von Rokitansky-K\u00fcster-Hauser syndrome. Int Urogynecol J. 2013;24(6): 1047-52. https:\/\/doi.org\/10.1007\/s00192-012-1980-z","DOI":"10.1007\/s00192-012-1980-z"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Templeman CL, Lam AM, Hertweek SP. Surgical management of vaginal agencies. Obstet Gynecol Sur v. 1999;54(9):583-91. https:\/\/doi.org\/10.1097\/00006254-199909000-00023","DOI":"10.1097\/00006254-199909000-00023"},{"key":"ref9","unstructured":"Vecchietti G. Le neo-vagin dans le syndrome de Rokitansky-K\u00fcster-Hauser. Rev Med Suisse Romande. 1979;99(9):593-601."},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Brucker SY, Gegusch M, Zubke W, Rall K, Gauwerky JF, Wallwiener D. Neovagina creation in vaginal agenesis: Development of a new laparoscopic Vecchietti-based procedure and optimized instruments in a prospective comparative interventional study in 101 patients. Fertil Steril. 2008;90(5):1940-52. https:\/\/doi.org\/10.1016\/j.fertnstert.2007.08.070","DOI":"10.1016\/j.fertnstert.2007.08.070"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Fedele L, Busacca M, Candiani M, Vignali M. Laparoscopic creation of a neovagina in Mayer-Rokitansky- K\u00fcster syndrome by modification of Vecchietti's operation. Am J Obstet Gynecol. 1994;171(1):268-9. https:\/\/doi.org\/10.1016\/0002-9378(94)90482-0","DOI":"10.1016\/0002-9378(94)90482-0"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Cihan C, Cenk S, Ibrahim F, Murat A, Turan C. Long-term outcomes of laparoscopic bean vaginoplasty (modified Vecchietti procedure) for Mayer- Rokitansky-Kuster-Hauser Syndrome. J Laparoendosc Adv Surg Tech. 2016;26(8): 591-5. DOI: https:\/\/doi.org\/10.1089\/lap.2016.0031","DOI":"10.1089\/lap.2016.0031"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"McQuillan SK, Grover SR. Dilation and surgical management in vaginal agenesis: A systematic review. Int Urogynecol J. 2014;(25):299-311. https:\/\/doi.org\/10.1007\/s00192-013-2221-9","DOI":"10.1007\/s00192-013-2221-9"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Pastor Z, Fronek J, Nov\u00e1\u010dkov\u00e1 M, Chmel R. Sexual life of women with Mayer-Rokitansky-K\u00fcster-Hauser Syndrome after laparoscopic Vecchietti vaginoplasty. Sex Med. 2017;5(2):e106-e113. https:\/\/doi.org\/10.1016\/j.esxm.2016.12.003","DOI":"10.1016\/j.esxm.2016.12.003"}],"container-title":["Revista Colombiana de Obstetricia y Ginecolog\u00eda"],"original-title":[],"link":[{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3177\/3529","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/download\/3177\/3529","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,13]],"date-time":"2019-11-13T10:58:42Z","timestamp":1573642722000},"score":1,"resource":{"primary":{"URL":"https:\/\/revista.fecolsog.org\/index.php\/rcog\/article\/view\/3177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,30]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,9,30]]}},"URL":"https:\/\/doi.org\/10.18597\/rcog.3177","relation":{},"ISSN":["2463-0225","0034-7434"],"issn-type":[{"type":"electronic","value":"2463-0225"},{"type":"print","value":"0034-7434"}],"subject":[],"published":{"date-parts":[[2019,9,30]]}}}