Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic techniqueopen access
- Authors
- Kim, Jeong-ki; Na, Woong; Cho, Jeong Hyun; Ahn, Eun Jung; Kim, Eunyoung; Song, In-Gyu; Han, Eon Chul; Lee, Dong Woon; Park, Byung Kwan; Park, Yong-Gum; Kim, Beom Gyu
- Issue Date
- Sep-2021
- Publisher
- LIPPINCOTT WILLIAMS & WILKINS
- Keywords
- neovagina; recto-sigmoid colon vaginoplasty; three-dimensional laparoscopy
- Citation
- MEDICINE, v.100, no.35, pp E27042
- Journal Title
- MEDICINE
- Volume
- 100
- Number
- 35
- Start Page
- E27042
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/52339
- DOI
- 10.1097/MD.0000000000027042
- ISSN
- 0025-7974
1536-5964
- 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 33.0 years, and the mean total operation time was 529 +/- 128 minutes. The initial intraoperative mean vaginal depth was 15.2 +/- 1.3 cm, and the 30-day readmission rate was 5.9% (1/17 cases). The mean follow-up duration was 24.8 months. Perioperative and postoperative outcomes suggest that 3D laparoscopic rectosigmoid colon vaginoplasty is a potentially acceptable, effective, and safe method for vaginal reconstruction.
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