Long-term results of vaginal construction with the use of Frank dilation and a peritoneal graft (Davydov procedure) in patients with Mayer-Rokitansky-Küster.

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Presentation transcript:

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 Wim N.P. Willemsen, M.D., Ph.D., Kirsten B. Kluivers, M.D., Ph.D. Fertility and Sterility Volume 103, Issue 1, Pages 220-227.e1 (January 2015) DOI: 10.1016/j.fertnstert.2014.10.014 Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Horizontal incision. (B) Sharp dissection. (C–E) Blunt dissection. (F) Mold in the space between urethra/bladder and rectum. (G) Opening of the peritoneum. (H) Dissection of the peritoneum. (I) Mold as seen intra-abdominally. (J) Sutures from the abdominal to the vaginal opening. (K, L) Traction on the peritoneum. (M) The peritoneum is sutured to the vaginal epithelium. (N) Closure of the abdominal peritoneum. Figures 1G, 1L, and 1M reprinted from Willemsen (35) with permission. Fertility and Sterility 2015 103, 220-227.e1DOI: (10.1016/j.fertnstert.2014.10.014) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Figure 1 (A) Horizontal incision. (B) Sharp dissection. (C–E) Blunt dissection. (F) Mold in the space between urethra/bladder and rectum. (G) Opening of the peritoneum. (H) Dissection of the peritoneum. (I) Mold as seen intra-abdominally. (J) Sutures from the abdominal to the vaginal opening. (K, L) Traction on the peritoneum. (M) The peritoneum is sutured to the vaginal epithelium. (N) Closure of the abdominal peritoneum. Figures 1G, 1L, and 1M reprinted from Willemsen (35) with permission. Fertility and Sterility 2015 103, 220-227.e1DOI: (10.1016/j.fertnstert.2014.10.014) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions

Supplemental Figure 1 Flow chart of the study. MRK = Mayer-Rokitansky-Küster. Fertility and Sterility 2015 103, 220-227.e1DOI: (10.1016/j.fertnstert.2014.10.014) Copyright © 2015 American Society for Reproductive Medicine Terms and Conditions