The Mayer-Rokitansky-Kuster syndrome is the most frequent cause of vaginal aplasia. There are several operations that can correct this malformation; the most important is that of Vecchietti. The rapid development of the laparoscopic know-how in the last years enables a pelviscopic approach of the laparotomic part of the Vecchietti operation. The question remains whether there are real advantages or whether the choice between laparotomy and laparoscopy should depend exclusively on the personal experience of the surgeon.
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