META-ANALYSIS : COMPARISON OF NEOVAGINA SUCCESS RATE WITH VECCHIETTI'S LAPAROSCOPIC METHOD AND DAVYDOV'S LAPAROSCOPIC METHOD IN MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME (MRKH) PATIENTS
DOI:
https://doi.org/10.33086/mhsj.v4i2.1641Keywords:
MAYER-ROKITANSKY-KUSTER-HAUSER SYNDROME, LAPAROSCOPIC DAVYDOV, LAPAROSCOPIC VECCHIETTI, VAGINAL LENGTH, FSFI SCOREAbstract
Background: Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH) is caused by an embryological growth disorder of the mullerian duct. Laparoscopic Vecchietti and Davydov are laparoscopic surgery techniques that are often used for neovaginal surgery
Objective: This paper aims to compare the success rate of neovagina with the Vecchietti laparoscopic method and Davydov's laparoscopic method in patients with Mayer-Rokitansky-Kuster-Hauser Syndrome (MRKH)
Methods: A systematic data search was performed on a medical database (PUBMED, MEDLINE, Cochrane Database, Google Scholar). Inclusion criteria: (1) randomized randomized study of the Vecchietti Laparoscopic Method with Davydov’s Laparoscopy, (2) all inclusive papers can be accessed completely, and (3) the data obtained can be accurately analyzed
Data acquisition and analysis: We searched for a random blind study (RCT) with the following keywords: (1) Vecchietti Laparoscopy [title] AND (2) Davydov’s Laparoscopy [title] AND Mayer-Rokitansky-Kuster-Hauser syndrome [title]
Results: Three RCTs comparing neovaginal success with the Vecchietti laparoscopic method and Davydov's laparoscopic method a total of 122 patients were analyzed. Average vaginal length (mean difference [MD] -0.70, and 95% [CI] -0.99 to -0.41 (P <0.00001), Average number of Female Sexual Function Index scores (mean difference [MD] -1.34, and 95% [CI] -1.71 through -0.96. (P <0.00001)
Conclusion: This meta-analysis concludes that Davydov’s Laparoscopic Method is better in terms of postoperative vaginal length and the Female Sexual Function Index Score
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References
Cheikhelard, A., Bidet, M., Baptiste, A., Viaud, M., Fagot, C., Khen-Dunlop, N., Pienkowski, C. (2018). Surgery is Not Superior to Dilation for the Management of Vaginal Agenesis in MRKH Syndrome: A Multicenter Comparative Observational Study in 131 Patients. American Journal of Obstetrics and Gynecology. doi:10.1016/j.ajog.2018.07.015.
Callens, N., De Cuypere, G., De Sutter, P., Monstrey, S., Weyers, S., Hoebeke, P., & Cools, M. (2014). An update on surgical and non-surgical treatments for vaginal hypoplasia. Human Reproduction Update, 20(5), 775–801. doi:10.1093/humupd/dmu024.
Morcel, K., Camborieux, L., & Guerrier, D. (2007). Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. Orphanet Journal of Rare Diseases, 2(1), 13. doi:10.1186/1750-1172-2-13.
Willemsen, W. N. P., & Kluivers, K. B. (2015). Long-term results of vaginal construction with the use of Frank dilation and a peritoneal graft (Davydov procedure) in patients with Mayer-Rokitansky-Küster syndrome. Fertility and Sterility, 103(1), 220–227.e1. doi:10.1016/j.fertnstert.2014.10.014.
Dong, X., Xi, Z., Jin, H., Comparative study of laparoscopic Vecchietti and Davydov vaginoplasty in the treatment of MRKH syndrome. Chinese Journal of Obstetrics and Gynecology, 2015, 50 (4) : 278-282. DOI: 10.3760 / cma.j.issn.0529-567x.2015.04.008.
Bianchi, S., Frontino, G., Ciappina, N., Restelli, E. Fedele, L.Creation of a neovagina in Rokitansky syndrome: comparison between two laparoscopic techniques. Fertility and Sterility Vol. 95, No. 3, March 1, 2011 0015-0282/S36.00 American Society for Reproductive Medicine, Published by Elsevier Inc. doi:10.1016/j.fertnstert.2010.11.032.
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