Colon or Vaginoplasty can be done as primary or secondary for Vaginal stenosis, shorting of vagina after SRS or very shortpenile skin in primary case
Colon or Vaginoplasty can be done as primary or secondary for Vaginal stenosis, shorting of vagina after SRS or very shortpenile skin in primary case
The bowels are prepared mechanically. The patient is placed in lithotomy. The general surgeon and plastic surgeon operate simultaneously and the general surgeon (abdominal surgeon) prepares the bowel through the short low Pfannenstiel incision. The sigmoid colon is isolated about 15-20 centimeters in length, with the vascular pedicle from the inferior mesenteric and superior hemorrhoidal system, the remaining two ends of the colon is anastomosed by the continuous, one layer closure. The plastic surgeon starts the perineal dissection by transversely incising the end pouch of the penile skin or the end of vaginal mucosa in the case of vaginal astresia. The dissection is carried out by eletrocautery, by palpating the urethral catheter anterior up to the retrobladder properitoneal space and the peritoneum is incised and enlarged. The general surgeon deliver the colon through the peritoneal opening after closing the proximal end, generally the rectosigmoid opening could be pulled down to the perineal skin without any tension, the anastomosis is made to the vaginal skin cuff at 1- 2 inches from the perineum, using the interrupted chronic catgut.
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Anesthesia | General. |
Surgery Length | 7-10 hours. |
Side Effects | Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months. |
Recovery Period | Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more. |
Stay in Hospital | 5-6 days |
Stay in Thailand | 21-28 days |