Revista do Colegio Brasileiro de Cirurgioes · 2026
Use of Peritoneal Flap with Pericranium Graft in Gender Reassignment Surgery: Technical Description.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Martins José Carlos, Pinto Rinaldo Danesi, Martins José Vinícius S, Koleski Felipe J
Аннотация
OBJECTIVE: To describe a hybrid vaginoplasty technique using an autologous pericranial graft combined with a robotic-assisted peritoneal flap as an alternative for gender-affirming surgery patients with insufficient penoscrotal tissue.
METHODS: Case report of a 28-year-old transgender woman with a history of prior penile inversion vaginoplasty who developed stenosis and loss of vaginal canal depth. The patient underwent revision vaginoplasty using the hybrid technique. The procedure consisted of harvesting a pericranial graft to create a tubular structure, which was then anastomosed to a robotic-assisted peritoneal flap to create the neovaginal canal.
RESULTS: The procedure was successfully performed without intraoperative complications. The patient had a good healing process, and after six months of follow-up, maintained an 18-cm neovaginal canal that was epithelialized, adequately lubricated, and without evidence of stenosis. Patient satisfaction with both functional and aesthetic outcomes was high.
CONCLUSION: Hybrid vaginoplasty using a pericranial graft combined with a robotic-assisted peritoneal flap may represent a viable and promising alternative for gender reassignment patients with insufficient penoscrotal tissue, particularly in revision surgeries, providing a vaginal canal with satisfactory depth and tissue quality and low donor-site morbidity.
METHODS: Case report of a 28-year-old transgender woman with a history of prior penile inversion vaginoplasty who developed stenosis and loss of vaginal canal depth. The patient underwent revision vaginoplasty using the hybrid technique. The procedure consisted of harvesting a pericranial graft to create a tubular structure, which was then anastomosed to a robotic-assisted peritoneal flap to create the neovaginal canal.
RESULTS: The procedure was successfully performed without intraoperative complications. The patient had a good healing process, and after six months of follow-up, maintained an 18-cm neovaginal canal that was epithelialized, adequately lubricated, and without evidence of stenosis. Patient satisfaction with both functional and aesthetic outcomes was high.
CONCLUSION: Hybrid vaginoplasty using a pericranial graft combined with a robotic-assisted peritoneal flap may represent a viable and promising alternative for gender reassignment patients with insufficient penoscrotal tissue, particularly in revision surgeries, providing a vaginal canal with satisfactory depth and tissue quality and low donor-site morbidity.