Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique.
Medicine (Baltimore)
; 100(35): e27042, 2021 Sep 03.
Article
en En
| MEDLINE
| ID: mdl-34477135
ABSTRACT
ABSTRACT To investigate the feasibility, safety, and outcomes of three-dimensional (3D) laparoscopic vaginoplasty with a rectosigmoid colon flap for vaginal reconstruction.Following appropriate preoperative patient counseling, 17 consecutive patients underwent vaginoplasty using a 3D laparoscopic system. Perioperative and postoperative outcomes were retrospectively evaluated.Between September 2016 and February 2020, 17 patients underwent 3D laparoscopic vaginoplasty with a rectosigmoid colon flap. Of them, 15 (88%) were transgender female patients, and 2 (12%) were cisgender female patients with congenital deformities. Among the 15 transgender patients, 12 (80%) underwent de novo surgeries and 3 (20%) underwent re-do surgeries. The mean age at the time of operation was 33.0âyears, and the mean total operation time was 529â±â128âminutes. The initial intraoperative mean vaginal depth was 15.2â±â1.3âcm, and the 30-day readmission rate was 5.9% (1/17 cases). The mean follow-up duration was 24.8âmonths.Perioperative and postoperative outcomes suggest that 3D laparoscopic rectosigmoid colon vaginoplasty is a potentially acceptable, effective, and safe method for vaginal reconstruction.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Colgajos Quirúrgicos
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Vagina
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Laparoscopía
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Cirugía de Reasignación de Sexo
Tipo de estudio:
Observational_studies
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2021
Tipo del documento:
Article