What is the process of vaginoplasty?

summary

Vaginal reconstruction is undoubtedly very important for women without vagina. This method is to reconstruct a vagina in its original position. This can improve the function of the sexual organs, but also make the genitals more beautiful, so that women become more confident. Vaginal reconstruction is safe and effective. It is mainly suitable for women with congenital absence of vagina, true hermaphroditism and false hermaphroditism. So what is the process of vaginoplasty?

What is the process of vaginoplasty?

1. The patients were prepared according to the intestinal operation before operation. What is the process of vaginoplasty? Liquid diet and skin preparation were given on the day before operation, and enema was made on the night and morning before operation. The perineal skin was cleaned 3 days before operation. Take broad-spectrum antibiotics on the day before operation.

2. Skin flap preparation: according to the design line, cut the skin and subcutaneous tissue directly under the deep fascia, form the flap from the top to the pedicle, and then carefully separate it down to form a 3-4cm subcutaneous pedicle, so that the skin flap with subcutaneous pedicle can rotate to the midline at an angle of 70-80 degrees without tension. There are branches of perineal artery, circumflex artery and posterior femoral cutaneous nerve in the subcutaneous pedicle, In order to avoid injury, careful dissection of these vessels and nerves is not necessary.

3. Vagina formation: the edges of the two flaps were closed to each other, and the dermis of the edge of the two flaps was sutured intermittently with 5-0 polyester thread to form a skin tube. There was no active bleeding or gauze left in the cavity. The skin tube was rotated 180 degrees from the lower part of the urethra and inserted into the cavity. The tissue surface was close to the tissue surface, and the skin surface was toward the vaginal cavity. Four triangular flaps (a, B, a ', B') formed by fishtail bifurcation of the flap pedicle were inserted alternately with four triangular flaps formed by "X" incision, 5-0 polyester thread or absorbable suture is used to sew intermittently to form serrated shape.

matters needing attention

Vaginal fixation: the vagina is filled with iodoform and vaseline gauze, the vagina mouth is sutured with 4 needles of thick thread, wrapped bandage, compression fixation, so that the dressing placed in the vagina does not come off. When the gauze is placed, it reaches the top and is filled from the inside to the outside to make the vaginal wall close to the tissue around the cavity. The dressing should not be too tight, so as not to affect the blood supply of the flap, and prevent postoperative vaginal shortening or narrowing.