Dr. Mahtre has published studies following patients for over a decade for laporascopic Davydov in MRKH. There are case studies published over a decade ago where the Davydov was used on high grade (4-5) PAIS patients and papers demonstrating the differences between peritoneal and ileal vaginoplasties.
Thank you. Correct Dr Mahtre has done some targeted studies: 36 patients were followed for 9 months to max 7 years (only 3 patients) for procedures performed on patients with congenital blind vaginal pouch and 46 XX pelvic anatomy that did not require the more extensive dissection of SRS. Long term strictures were not specifically followed, long term dilation not required since the peritoneal lining met with congenital vaginal lining, and max depth obtained was 7-8 cm. This is a promising study, but more studies with higher Ns, longer follow up to provide information on the outcomes for transgender, intersex, gender nonconforming patients that are interested in peritoneal pull through option for vaginoplasty.
@@mozaiccare922 a small set of research Video Resouces: Badran, Osama. MD, FACOG. Laparoscopic Neovagina Creation - with audio. 2012, Oct 30. Amman, Jordan. www.drbadran.com. Video Retrieved from ruclips.net/video/QUtMjpFPOMM/видео.html Dr. Badran is a American Board Certified Gynecologist with a sub-specialty degree in Advanced Laparoscopic Gynecologic Surgery. He was chairman of the Gynecology Department at Interfaith Medical Center/New York 2001-2004 and has been a consultant in Gynecologic Oncology at King Hussein Cancer Center in Amman-Jordan since 2005. His private practice limited to advanced laparoscopic and minimally invasive gynecologic surgery. Dr. Badran demonstrates a laparoscopic Davydov procedure. This patient is female at birth. She has MRKH syndrome with fully formed ovaries but agenesis of the uterine and vaginal tissues. When Dr. Badran begins on the external genitals, it is clear the patient lacks even the vaginal introitus. Dr. Badran begins with an incision to open an introitus. He then opens the space for the vaginal canal until the dialator being used can be seen on the laparoscope pressing against the peritoneal pouch. This provides a visual location to open the peritoneal tissue inside. The peritoneal tissue around the incision point is mobilized. This does not appear to require a large area. After mobilization and opening to the new vaginal space, the peritoneum is grabbed and pulled down to the neo-vaginal introitus. The peritoneal tissues are sutured to the introitus. Then inside the laparoscopic surgeon uses a stitch to gather and pull the anterior of the neo-vaginal canal closed. This closes the peritoneal cavity as well. This case may be of particular interest as the patient has no existing vaginal introitus and therefore no existing depth to work from. This will be similar to a patient who is assigned male at birth from the external side. Chittawar, Priya Bhave. Laparoscopic Vaginoplasty: Davydov's procedure. 2012, Oct 4. Video Retrieved from ruclips.net/video/OPQq13IjpDs/видео.html Dr. Chittawar does a audio walk through of the procedure. She explains each step in detail as needed in this video. Dr. Chittawar explains several benefits to this procedure: Good vaginal depth. Does not require long term post operative dialation. Good epithelization from the peritoneal lining. Can be done by surgeon with average laparoscopic skill. Dadhich, Chandra P. OBGYN. Laparoscopic vaginoplasty by peritoneal pull through by C.P.Dadhich. 2015, July 3. Jaipur, India. Video Retrieved from ruclips.net/video/QO3iVWZTHmc/видео.html Dr. Dadhich performs a laparoscopic Davydov procedure. This patient is female at birth with MRKH syndrome. She has partial depth vaginal tissue. Dadhich, Chandra P. OBGYN, Dadhich, Tripti. OBGYN. Dr. DADHICH technique of Peritoneal tube neo vaginoplasty(5). 2019, Feb 17. Jaipur, India. Video Retrieved from ruclips.net/video/plsqUf9j5gI/видео.html Dr. Dadhich demonstrates a laparoscopic Davydov procedure on a female at birth patient. Watson, Jane. PriyaMED presents... Sugar's PPV GRS SRS GCS Vaginoplasty. 2018, Aug 24. Mumbia, India. Video Retrieved from ruclips.net/video/_PhaqHoTA6Y/видео.html The doctors in Mumbia, India demonstrate the use of a laparoscopic Davydov procedure on a trans-woman. They combine the pull through peritoneal technique with a non- penile inversion genital reconstruction. This patient is male at birth and has no visible signs of feminine skeletal traits. This patient has a normal male type pelvic structure. This is one of three patients to get this surgery in 2018. The hospital is opening this as a full option for GCS patients in 2019. Journal Articles: Bianchi, Stefano., Berlanda, Nicola., Brunetto, Federica., Bulfoni, Alessandro., Caroggio, Celcilla., Fedele, Luigi. Creation of a Neovagina by Laparoscopic Modified Davydov Vaginoplasty in Patients with Partial Androgen Insensitivity Syndrome. The Journal of Minimally Invasive Gynecology. 2017, Nov-Dec. Vol 24, Issue 7, pages 1211-1217. Retrieved from www.jmig.org/article/S1553-4650(17)30444-2/fulltext This study reviewed a number of patients who had different grades of Partial Androgen Insensitivity Syndrome (PAIS). These patients are XY but have varying inability to react to androgen hormones. Androgen Insensitivity is divided into seven grades based on the degree of visible genital deformity effect. Currently the medical database has near 700 known mutations to the AR gene. This study was done by the Dipartimento di Ostetricia e Ginecologia e Universita degli Studi di Milano, Ospedale San Giuseppe, Milan, Italy and shows the Davydov procedure being used with genital reconstruction with patients who fit into ambiguous genitalia. Most lack any existing vaginal dimple or depth. Fedele, L., Frontino, G., Restelli, E., Ciappina, N., Motta, F., Bianchi, S. . Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome. American Journal of Obstetrics & Gynecology, Volume 202, Issue 1, 33.e1-33.e6. doi.org/10.1016/j.ajog.2009.08.035 Giannesi, A., Marchiole, P., Benchaib, M., Chevret-Measson, M., Mathevet, P., Dargent, D. Sexuality after laparoscopic Davydov in patients affected by congenital complete vaginal agenesis associated with uterine agenesis or hypoplasia. Human Reproduction, Volume 20, Issue 10, October 2005, Pages 2954-2957, doi.org/10.1093/humrep/dei152 Jalalizadeh, Mehrsa, MD; Shobeiri, S. Abbas, MD, MBA. Davydov Procedure for Augmenting Vaginal Length in a Postsurgical Male-to-Female Transgender Patient. Female Pelvic Medicine & Reconstructive Surgery: July/August 2018 - Volume 24 - Issue 4 - p e9-e11. doi.org/10.1097/SPV.0000000000000562 Khadka, R.R., Islam, S., Rahman, S., Ali, Y., Salam, M.A., Hossain, M., Hasan, S., Vaginoplasty in vaginal agenesis associated with MRKH syndrome with tabularized peritoneal pull-through. A Journal of Bangabandhe Sheikh Mujib Medical University, Dhaka, Bangladesh. 2017, issue 10, pages 35-37. doi: 10.3329/bsmmuj.v10i1.31071 www.banglajol.info Marton, Ingrid., Habek, Dubravko., UjeviÄ, Boris. Laparoscopic Davydov procedure: 4 cases of neovaginoplasty. ISGE 25th Annual Congress & 4th Croatian Congress. 2016, May 25-28. Retrieved from www.researchgate.net/publication/303863218_Laparoscopic_Davydov_procedure_4_cases_of_neovaginoplasty Case Description: We have used laparoscopic Davydov technique in 4 patients; after 5 years of follow-up average length of vagina was: 11, 15 and 10 cm and one year after the procedure in the last one: 10 cm. All 4 of them had no postoperative complications and have regular intercourses what was the actual aim of the procedure . Disscusion: Although our group of patients is small, we do suggest this operative technique as a simple and successful autologous procedure with good postoperative outcome and longer neovagina in comparison with other techniques; average length of vagina 8.1 cm, while other authors report average length 7-12 cm. In our opinion, this method should be mentioned in all papers about reconstructive procedures of congenital uterovaginal aplasia. Mahtre, Pravin., Mahtre, Jyoti., Sahu, Rakhi. New laparoscopic peritoneal pull-through vaginoplasty technique. Journal Human Reproductive Science. 2014, Jul-Sept. Pages 181-186. doi: 10.4103/0974-1208.142478 Slater, Michael W., Vinaja, Xochitl., Islam, Aly., Loukas, Marios., Terrell, Mark., Schober, Justine. Neovaginal Construction with Pelvic Peritoneum: Reviewing an Old Approach for a New Application. Clinical Anatomy. 2018. issue 31. pages 175-180. Takahashi, K., Nakamura, E., Suzuki, S., Shinoda, M., Nishijima, Y., Ohnuki, Y., Kondo, A., Shiina, T., Suzuki, T., Izumi, S., Laparoscopic Davydov Procedure for the Creation of a Neovagina in Patients with Mayer-Rokitansky-Kuster-Hauser Syndrome: Analysis of 7 Cases. Tokai Journal of Experimental and Clinical Medicine. 2016 Jun 20;41(2):81-7. Retrieved from www.ncbi.nlm.nih.gov/pubmed/27344998 Images sourced, Laparoscopic Davydov Neovagina. Milkos and Moore. Retrieved from www.miklosandmoore.com/mrkh-atlanta/laparoscopic-davydov/
you guys need to go to jail for mutilating healthy people
Dr. Mahtre has published studies following patients for over a decade for laporascopic Davydov in MRKH. There are case studies published over a decade ago where the Davydov was used on high grade (4-5) PAIS patients and papers demonstrating the differences between peritoneal and ileal vaginoplasties.
Thank you. Correct Dr Mahtre has done some targeted studies: 36 patients were followed for 9 months to max 7 years (only 3 patients) for procedures performed on patients with congenital blind vaginal pouch and 46 XX pelvic anatomy that did not require the more extensive dissection of SRS. Long term strictures were not specifically followed, long term dilation not required since the peritoneal lining met with congenital vaginal lining, and max depth obtained was 7-8 cm. This is a promising study, but more studies with higher Ns, longer follow up to provide information on the outcomes for transgender, intersex, gender nonconforming patients that are interested in peritoneal pull through option for vaginoplasty.
@@mozaiccare922
a small set of research
Video Resouces:
Badran, Osama. MD, FACOG. Laparoscopic Neovagina Creation - with audio. 2012, Oct 30. Amman, Jordan. www.drbadran.com. Video Retrieved from ruclips.net/video/QUtMjpFPOMM/видео.html
Dr. Badran is a American Board Certified Gynecologist with a sub-specialty degree in Advanced Laparoscopic Gynecologic Surgery. He was chairman of the Gynecology Department at Interfaith Medical Center/New York 2001-2004 and has been a consultant in Gynecologic Oncology at King Hussein Cancer Center in Amman-Jordan since 2005. His private practice limited to advanced laparoscopic and minimally invasive gynecologic surgery. Dr. Badran demonstrates a laparoscopic Davydov procedure. This patient is female at birth. She has MRKH syndrome with fully formed ovaries but agenesis of the uterine and vaginal tissues. When Dr. Badran begins on the external genitals, it is clear the patient lacks even the vaginal introitus. Dr. Badran begins with an incision to open an introitus. He then opens the space for the vaginal canal until the dialator being used can be seen on the laparoscope pressing against the peritoneal pouch. This provides a visual location to open the peritoneal tissue inside. The peritoneal tissue around the incision point is mobilized. This does not appear to require a large area. After mobilization and opening to the new vaginal space, the peritoneum is grabbed and pulled down to the neo-vaginal introitus. The peritoneal tissues are sutured to the introitus. Then inside the laparoscopic surgeon uses a stitch to gather and pull the anterior of the neo-vaginal canal closed. This closes the peritoneal cavity as well.
This case may be of particular interest as the patient has no existing vaginal introitus and therefore no existing depth to work from. This will be similar to a patient who is assigned male at birth from the external side.
Chittawar, Priya Bhave. Laparoscopic Vaginoplasty: Davydov's procedure. 2012, Oct 4. Video Retrieved from ruclips.net/video/OPQq13IjpDs/видео.html
Dr. Chittawar does a audio walk through of the procedure. She explains each step in detail as needed in this video. Dr. Chittawar explains several benefits to this procedure: Good vaginal depth. Does not require long term post operative dialation. Good epithelization from the peritoneal lining. Can be done by surgeon with average laparoscopic skill.
Dadhich, Chandra P. OBGYN. Laparoscopic vaginoplasty by peritoneal pull through by C.P.Dadhich. 2015, July 3. Jaipur, India. Video Retrieved from ruclips.net/video/QO3iVWZTHmc/видео.html
Dr. Dadhich performs a laparoscopic Davydov procedure. This patient is female at birth with MRKH syndrome. She has partial depth vaginal tissue.
Dadhich, Chandra P. OBGYN, Dadhich, Tripti. OBGYN. Dr. DADHICH technique of Peritoneal tube neo vaginoplasty(5). 2019, Feb 17. Jaipur, India. Video Retrieved from ruclips.net/video/plsqUf9j5gI/видео.html
Dr. Dadhich demonstrates a laparoscopic Davydov procedure on a female at birth patient.
Watson, Jane. PriyaMED presents... Sugar's PPV GRS SRS GCS Vaginoplasty. 2018, Aug 24. Mumbia, India. Video Retrieved from ruclips.net/video/_PhaqHoTA6Y/видео.html
The doctors in Mumbia, India demonstrate the use of a laparoscopic Davydov procedure on a trans-woman. They combine the pull through peritoneal technique with a non- penile inversion genital reconstruction. This patient is male at birth and has no visible signs of feminine skeletal traits. This patient has a normal male type pelvic structure. This is one of three patients to get this surgery in 2018. The hospital is opening this as a full option for GCS patients in 2019.
Journal Articles:
Bianchi, Stefano., Berlanda, Nicola., Brunetto, Federica., Bulfoni, Alessandro., Caroggio, Celcilla., Fedele, Luigi. Creation of a Neovagina by Laparoscopic Modified Davydov Vaginoplasty in Patients with Partial Androgen Insensitivity Syndrome. The Journal of Minimally Invasive Gynecology. 2017, Nov-Dec. Vol 24, Issue 7, pages 1211-1217. Retrieved from www.jmig.org/article/S1553-4650(17)30444-2/fulltext
This study reviewed a number of patients who had different grades of Partial Androgen Insensitivity Syndrome (PAIS). These patients are XY but have varying inability to react to androgen hormones. Androgen Insensitivity is divided into seven grades based on the degree of visible genital deformity effect. Currently the medical database has near 700 known mutations to the AR gene. This study was done by the Dipartimento di Ostetricia e Ginecologia e Universita degli Studi di Milano, Ospedale San Giuseppe, Milan, Italy and shows the Davydov procedure being used with genital reconstruction with patients who fit into ambiguous genitalia. Most lack any existing vaginal dimple or depth.
Fedele, L., Frontino, G., Restelli, E., Ciappina, N., Motta, F., Bianchi, S. . Creation of a neovagina by Davydov's laparoscopic modified technique in patients with Rokitansky syndrome. American Journal of Obstetrics & Gynecology, Volume 202, Issue 1, 33.e1-33.e6. doi.org/10.1016/j.ajog.2009.08.035
Giannesi, A., Marchiole, P., Benchaib, M., Chevret-Measson, M., Mathevet, P., Dargent, D. Sexuality after laparoscopic Davydov in patients affected by congenital complete vaginal agenesis associated with uterine agenesis or hypoplasia. Human Reproduction, Volume 20, Issue 10, October 2005, Pages 2954-2957, doi.org/10.1093/humrep/dei152
Jalalizadeh, Mehrsa, MD; Shobeiri, S. Abbas, MD, MBA. Davydov Procedure for Augmenting Vaginal Length in a Postsurgical Male-to-Female Transgender Patient. Female Pelvic Medicine & Reconstructive Surgery: July/August 2018 - Volume 24 - Issue 4 - p e9-e11. doi.org/10.1097/SPV.0000000000000562
Khadka, R.R., Islam, S., Rahman, S., Ali, Y., Salam, M.A., Hossain, M., Hasan, S., Vaginoplasty in vaginal agenesis associated with MRKH syndrome with tabularized peritoneal pull-through. A Journal of Bangabandhe Sheikh Mujib Medical University, Dhaka, Bangladesh. 2017, issue 10, pages 35-37. doi: 10.3329/bsmmuj.v10i1.31071 www.banglajol.info
Marton, Ingrid., Habek, Dubravko., UjeviÄ, Boris. Laparoscopic Davydov procedure: 4 cases of neovaginoplasty. ISGE 25th Annual Congress & 4th Croatian Congress. 2016, May 25-28. Retrieved from www.researchgate.net/publication/303863218_Laparoscopic_Davydov_procedure_4_cases_of_neovaginoplasty
Case Description: We have used laparoscopic Davydov technique in 4 patients; after 5 years of follow-up average length of vagina was: 11, 15 and 10 cm and one year after the procedure in the last one: 10 cm. All 4 of them had no postoperative complications and have regular intercourses what was the actual aim of the procedure . Disscusion: Although our group of patients is small, we do suggest this operative technique as a simple and successful autologous procedure with good postoperative outcome and longer neovagina in comparison with other techniques; average length of vagina 8.1 cm, while other authors report average length 7-12 cm. In our opinion, this method should be mentioned in all papers about reconstructive procedures of congenital uterovaginal aplasia.
Mahtre, Pravin., Mahtre, Jyoti., Sahu, Rakhi. New laparoscopic peritoneal pull-through vaginoplasty technique. Journal Human Reproductive Science. 2014, Jul-Sept. Pages 181-186. doi: 10.4103/0974-1208.142478
Slater, Michael W., Vinaja, Xochitl., Islam, Aly., Loukas, Marios., Terrell, Mark., Schober, Justine. Neovaginal Construction with Pelvic Peritoneum: Reviewing an Old Approach for a New Application. Clinical Anatomy. 2018. issue 31. pages 175-180.
Takahashi, K., Nakamura, E., Suzuki, S., Shinoda, M., Nishijima, Y., Ohnuki, Y., Kondo, A., Shiina, T., Suzuki, T., Izumi, S., Laparoscopic Davydov Procedure for the Creation of a Neovagina in Patients with Mayer-Rokitansky-Kuster-Hauser Syndrome: Analysis of 7 Cases. Tokai Journal of Experimental and Clinical Medicine. 2016 Jun 20;41(2):81-7. Retrieved from www.ncbi.nlm.nih.gov/pubmed/27344998
Images sourced, Laparoscopic Davydov Neovagina. Milkos and Moore. Retrieved from www.miklosandmoore.com/mrkh-atlanta/laparoscopic-davydov/
Does this methond offer 9 inch, wet and silk dont have to dilate ?