Das Mayer-Rokitansky-Küster-Syndrom ist die häufigste Ursache der Vaginalaplasie. Diese kann mit verschiedenen Eingriffen korrigiert werden, vor allem aber durch die Operation nach Vecchietti. Die endoskopischen Methoden, die in den letzten Jahren eine rasche Entwicklung erfahren haben, ermöglichen es jetzt, den laparotomischen Teil des Eingriffes nach Vecchietti pelviskopisch durchzuführen. Fraglich ist aber, ob dies wirklich vorteilhaft ist, oder ob die Entscheidung zwischen Laparotomie und Laparoskopie nur von der persönlichen chirurgischen Erfahrung des Operateurs abhängig sein soil.

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