Optimizing the Laparoscopic Vecchietti Procedure: Tips and Tricks

Friday, October 25, 2024

2:49 PM – 2:58 PM EDT

Location: Liberty Ballroom (Meeting Level 4)

Objectives: The goal of this video is to review optimization strategies for performing a laparoscopic Vecchietti procedure, also known as traction vaginoplasty. The minimally invasive Vecchietti procedure allows for expedited traction and dilation for those desiring vaginal canal creation. The Vecchietti procedure is a staged procedure we utilize commonly for those with vaginal agenesis in our practice. Although we appreciate that the steps are standardized, we have appreciated specific nuances in our technique that have optimized our surgical approach and efficiency.

Methods: In this video, we review each step of the procedure and offer technical strategies to enhance ease in the operating room. We discuss preoperative, intraoperative, and postoperative considerations. With the use of our techniques, we have had successful cosmetic and functional outcomes with vaginal length of 11 cm and adequate vaginal caliber.

Clinical Relevance: Therefore, this optimized Vecchietti procedure, or traction vaginoplasty, is an excellent option for neovagina creation in those patients with vaginal agenesis.

Disclosure(s):

Annika Sinha, MD: No financial relationships to disclose

Abbigail Woll, MD: No financial relationships to disclose

Cassandra K. Kisby, MD, MS: No relevant disclosure to display

Video Presenter(s)

Annika Sinha, MD

Fellow Physician
Duke University
Durham, North Carolina, United States

Disclosure(s): No financial relationships to disclose

Co-Author(s)

AW

Abbigail Woll, MD

Fellow
Duke Urogynecology and Reconstructive Pelvic Surgery
Durham, North Carolina, United States

Disclosure(s): No financial relationships to disclose
Cassandra K. Kisby, MD, MS (she/her/hers)

Assistant Professor, Associate Fellowship Director, Director GU Congenital Anatomic Differences (GU CARES) Program
Duke Health
Durham, North Carolina, United States

Disclosure(s): No relevant disclosure to display