Objective: Creation of a neovagina in patients with congenital vaginal aplasia and evaluation of laparoscopic approach. Design: Pilot prospective. Setting: Department of Gynaecology and Minimally Invasive Surgery Hospital Na Homolce. Methods: Four patients with the above mentioned syndrome were included and the laparoscopic modification of the open Vecchietti™s technique was used. All patients had a complete clinical examination and ultrasound evaluation. Results: No complications were found. The mean duration of surgery was 96 min. After two weeks a satisfactory vaginal length was achieved in all patients. Summary: The laparoscopic approach has all advantages of minimally invasive surgery. At the same time the advantages of Vecchietti™s open technique are maintained.

        Key words: congenital vaginal aplasia, laparoscopy, preperitoneal approach