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Meece MS, Horner LP, Danker SJ, Sinno AK, Paluvoi N. Robotic APR with en bloc TAH/BSO and posterior vaginectomy. Tech Coloproctol 2023; 27:1381. [PMID: 37658989 DOI: 10.1007/s10151-023-02860-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Accepted: 08/21/2023] [Indexed: 09/05/2023]
Affiliation(s)
- M S Meece
- DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th St., Fourth Floor, Miami, FL, 33136, USA
| | - L P Horner
- DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th St., Fourth Floor, Miami, FL, 33136, USA
| | - S J Danker
- DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th St., Fourth Floor, Miami, FL, 33136, USA
| | - A K Sinno
- Department of Obstetrics and Gynecology, Division of Gynecological Oncology, University of Miami Miller School of Medicine, Miami, FL, USA
| | - N Paluvoi
- DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, 1120 NW 14th St., Fourth Floor, Miami, FL, 33136, USA.
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Meece MS, Weber LE, Hernandez AE, Danker SJ, Paluvoi NV. Major complications of sigmoid vaginoplasty: a case series. J Surg Case Rep 2023; 2023:rjad333. [PMID: 37325067 PMCID: PMC10265060 DOI: 10.1093/jscr/rjad333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2023] [Accepted: 05/22/2023] [Indexed: 06/17/2023] Open
Abstract
This case series explores the major complications following sigmoid vaginoplasty in two transgender female patients. Both patients experienced significant post-operative complications, including stenosis and abscess formation, leading to sigmoid conduit ischemia and necrosis. These complications required major surgical interventions and multidisciplinary care, highlighting the complexity of these procedures and their potential morbidity. Our analysis suggests that the initial stenotic insult led to obstruction and vascular insult to the sigmoid conduit, necessitating resection of the affected bowel. The outcomes underscore the need for collaboration across specialties for optimal post-operative monitoring and management. This study advocates for future management guidelines promoting multidisciplinary collaboration to reduce morbidity and resource burdens associated with complications. Despite the complications, sigmoid vaginoplasty remains a viable gender affirmation surgery, providing an effective analogue to vaginal mucosa and offering improved neovaginal depth.
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Affiliation(s)
- Matthew S Meece
- Correspondence address. Department of Surgery, University of Miami and Jackson Health System, 1120 NW 14th Street, Miami, FL 33136, USA. Tel: 713 594 0909; Fax: 305 585 6043; E-mail:
| | - Lee E Weber
- DeWitt Daughtry Family Department of Surgery, Jackson Memorial Health System, Miami, FL, USA
- Department of Surgery, Division of Plastic Surgery, University of Miami, Miami, FL, USA
| | - Alexandra E Hernandez
- DeWitt Daughtry Family Department of Surgery, Jackson Memorial Health System, Miami, FL, USA
- Department of Surgery, Division of Colorectal Surgery, University of Miami, Miami, FL, USA
| | - Sara J Danker
- DeWitt Daughtry Family Department of Surgery, Jackson Memorial Health System, Miami, FL, USA
- Department of Surgery, Division of Plastic Surgery, University of Miami, Miami, FL, USA
| | - Nivedh V Paluvoi
- DeWitt Daughtry Family Department of Surgery, Jackson Memorial Health System, Miami, FL, USA
- Department of Surgery, Division of Colorectal Surgery, University of Miami, Miami, FL, USA
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