Cargando…
Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique
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. Pe...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8416006/ https://www.ncbi.nlm.nih.gov/pubmed/34477135 http://dx.doi.org/10.1097/MD.0000000000027042 |
_version_ | 1783748085556445184 |
---|---|
author | 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 |
author_facet | 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 |
author_sort | Kim, Jeong-ki |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8416006 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-84160062021-09-07 Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique 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 Medicine (Baltimore) 7100 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. Lippincott Williams & Wilkins 2021-09-03 /pmc/articles/PMC8416006/ /pubmed/34477135 http://dx.doi.org/10.1097/MD.0000000000027042 Text en Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | 7100 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 Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title | Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title_full | Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title_fullStr | Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title_full_unstemmed | Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title_short | Refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
title_sort | refinement of recto-sigmoid colon vaginoplasty using a three-dimensional laparoscopic technique |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8416006/ https://www.ncbi.nlm.nih.gov/pubmed/34477135 http://dx.doi.org/10.1097/MD.0000000000027042 |
work_keys_str_mv | AT kimjeongki refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT nawoong refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT chojeonghyun refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT ahneunjung refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT kimeunyoung refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT songingyu refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT haneonchul refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT leedongwoon refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT parkbyungkwan refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT parkyonggum refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique AT kimbeomgyu refinementofrectosigmoidcolonvaginoplastyusingathreedimensionallaparoscopictechnique |