Laparoscopy-assisted Ruge procedure for the creation of a neovagina in a patient with Mayer-Rokitansky-Küster-Hauser syndrome  Hirotaka Ota, M.D., Jun-ichi Tanaka, M.D., Masayo Murakami, M.D., Masanori Murata, M.D., Jun Fukuda, M.D., Toshinobu Tanaka, M.D., Hideaki Andoh, M.D., Kenji Koyama, M.D.  Fertility and Sterility  Volume 73, Issue 3, Pages 641-644 (March 2000) DOI: 10.1016/S0015-0282(99)00570-1

Figure 1 Laparoscopic operative procedure. (top left): Intrapelvic findings at the beginning of the operation. The uterus was rudimentary, whereas the bilateral ovaries were completely normal. (top right): The sigmoid colon and rectum were severed with an endoscopic linear stapler (see text). (bottom left): The descending colon and the rectum were anastomosed by the double stapling method. (bottom right): Intrapelvic findings at the end of the operation. The neovagina created from the sigmoid colon can be seen in the foreground, and the intestinal tract after anastomosis of the descending colon and rectum can be seen in the left background. O = ovary; R = rectum; S = sigmoid colon; U = rudimentary uterus; V = neovagina. Ota. Laparoscopy-assisted Ruge procedure. Fertil Steril 2000. Fertility and Sterility 2000 73, 641-644DOI: (10.1016/S0015-0282(99)00570-1)

Figure 2 Vaginography at 4-weeks of follow-up after the creation of a neovagina from the sigmoid colon. Ota. Laparoscopy-assisted Ruge procedure. Fertil Steril 2000. Fertility and Sterility 2000 73, 641-644DOI: (10.1016/S0015-0282(99)00570-1)