G L Ghirardini

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A case of ovarian cancer associated with the Mayer-Rokitansky-Küster-Hauser syndrome is reported. As far as we know, this is the second report of ovarian neoplasm associated with this syndrome. The need for gynecological control of ovarian and other possible pathologies of the genital tract in these women is discussed.
A pelviscopic method for the creation of a neovagina in a case of Mayer-von Rokitansky-Kuester-Hauser syndrome is described. Only one procedure for endoscopic diagnosis and minimal access operative therapy is required. The operative trauma of the Vecchietti procedure is greatly reduced by replacing the Pfannenstiel incision by pelviscopy.
A summary of the original descriptions of the Authors who gave the name to the syndrome characterized by absence of uterus and vagina is presented. Through these original descriptions a complete view of the development in gynecology over the last 150 years is offered.