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Updated: May 5, 2026

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[Study on gasless-laparoscopic vaginoplasty using sigmoid colon segment].

Lan Bu1, Huan-ying Wang, Jun Zhang

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Zhonghua Fu Chan Ke Za Zhi
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PubMed
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Gasless-laparoscopic vaginoplasty using sigmoid colon segments is a feasible and practical treatment. This surgical approach demonstrated comparable outcomes to traditional laparoscopy, with no significant differences in key recovery metrics.

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Context:

  • Vaginoplasty is a reconstructive surgery for creating an artificial vagina.
  • Sigmoid colon segments are utilized for their vascularity and suitability for neovagina construction.
  • Laparoscopic techniques offer advantages in minimally invasive procedures.

Purpose:

  • To evaluate the clinical efficacy of gasless-laparoscopic vaginoplasty using sigmoid colon segments.
  • To compare gasless-laparoscopic vaginoplasty with standard laparoscopic vaginoplasty.
  • To assess surgical outcomes, complications, and patient satisfaction.

Summary:

  • A retrospective review of 119 patients undergoing vaginoplasty with sigmoid colon segments compared laparoscopic and gasless-laparoscopic approaches.
  • Gasless-laparoscopic vaginoplasty showed a significantly shorter operative time (146 ± 17 min vs. 159 ± 18 min, P < 0.01).
  • No significant differences were observed in blood loss, bowel function recovery, or hospital stay between the groups. All artificial vaginas achieved adequate dimensions, with high patient satisfaction reported.

Impact:

  • Gasless-laparoscopic vaginoplasty is a viable and practical alternative for neovagina creation.
  • The technique offers potential benefits in reduced operative time.
  • This approach contributes to improved reconstructive surgical options for patients.