Laparoscopic creation of a neovagina in patients with Rokitansky syndrome: analysis of 52 cases  Luigi Fedele, M.D., Stefano Bianchi, M.D., Giovanni Zanconato, M.D., Ricciarda Raffaelli, M.D.  Fertility and Sterility  Volume 74, Issue 2, Pages 384-389 (August 2000) DOI: 10.1016/S0015-0282(00)00620-8

Figure 1 Relevant steps of the surgical procedure. (A), The Vecchietti straight thread-bearing cutting needle reaches subperitoneally the space between the bladder and rectum, then traverses it until reaching the pseudohymen. (B), The needle perforates the pseudohymen centrally and hooks the thread attached to the acrylic olive. (C), One thread is withdrawn subperitoneally from the abdomen; the loose one is hooked to follow the same path contralaterally. (D), A view of the pelvis at the end of the operation. The course of the threads is clearly visible at the level of the uterine rudiment. Fedele. Laparoscopic creation of a neovagina. Fertil Steril 2000. Fertility and Sterility 2000 74, 384-389DOI: (10.1016/S0015-0282(00)00620-8)

Fertility and Sterility 2000 74, 384-389DOI: (10 Fertility and Sterility 2000 74, 384-389DOI: (10.1016/S0015-0282(00)00620-8)