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Related Experiment Video

Updated: May 26, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Laparoscopic rectosigmoid flap vaginoplasty.

Seok Kwun Kim¹, Jae Oo Jeong, Yong Seok Kwon

¹Department of Plastic and Reconstructive Surgery, Dong-A University School of Medicine, Busan, South Korea. sgkim1@dau.ac.kr

Journal of Plastic Surgery and Hand Surgery

|December 14, 2011

Summary

The laparoscopic rectosigmoid flap vaginoplasty offers excellent functional and aesthetic outcomes with minimal complications. This minimally invasive technique promotes faster recovery and reduces scarring, enhancing patient satisfaction.

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Last Updated: May 26, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

Area of Science:

Surgical innovation in reconstructive procedures.
Minimally invasive gynecological surgery.

Background:

Rectosigmoid flap vaginoplasty is a recognized method for vaginal construction.
Traditional laparotomy for vaginoplasty can result in significant scarring and longer recovery times.

Purpose of the Study:

To evaluate the safety and efficacy of laparoscopic rectosigmoid flap vaginoplasty.
To assess the long-term functional and ecological outcomes of neovaginas created using this technique.

Main Methods:

Twelve patients underwent vaginoplasty using a laparoscopic rectosigmoid flap.
Postoperative evaluation included neovaginal pH, microbial flora, vaginal wall biopsy, and sexual function assessment at 6-12 months.

Main Results:

No patients reported vaginal narrowing, painful intercourse, discharge, or bleeding.
Mean operating time was 130 minutes, with a mean hospital stay of 8.5 days.
Histological analysis showed transformation of intestinal mucosa to stratified squamous cells; neovaginal pH stabilized around 6.

Conclusions:

Laparoscopic rectosigmoid flap vaginoplasty provides excellent aesthetic and functional results with reduced morbidity.
The technique is associated with a low complication rate and good patient recovery.
Neovaginal tissue demonstrates adaptation, supporting long-term functional success.