Hu W, Tehri I, Kinn H, Henry A S, Rouanet M, Pop A, Vais B, Claudic Y, Saraoui W, Perruisseau-Carrier A
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalo-universitaire de Brest, boulevard Tanguy-Prigent, 29200 Brest, France; Faculté de médecine, université de Brest, 22, rue Camille-Desmoulins, 29238 Brest, France.
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalo-universitaire de Brest, boulevard Tanguy-Prigent, 29200 Brest, France.
Ann Chir Plast Esthet. 2023 Nov;68(5-6):455-461. doi: 10.1016/j.anplas.2023.07.007. Epub 2023 Aug 16.
The aim of this article is to provide a comprehensive description of the peritoneal flap technique in male-to-female (MtF) gender affirmation surgery, particularly in cases of insufficient depth after penile inversion vaginoplasty.
Our short-term results reveal that the peritoneal flap vaginoplasty, adapted from the Davydov procedure, has shown significant potential for improving functional and aesthetic outcomes, including the creation of a self-lubricating neovagina. However, the complexity of the procedure requires advanced surgical expertise and appropriate postoperative care. Patient selection also plays an essential role as not all patients are ideal candidates for this procedure.
Despite its promises, the widespread adoption of the peritoneal flap technique in male-to-female (MtF) gender affirmation surgery is hindered by several challenges, including the need for specialized training and potential postoperative complications. Thus, this technique should be considered as an alternative or complement to traditional methods, depending on individual patient factors. Further research and extensive clinical trials are needed to better understand its potential and limitations in order to enhance the arsenal of effective surgical options for MtF gender affirmation surgery.
本文旨在全面描述男性变女性（MtF）性别确认手术中的腹膜瓣技术，特别是在阴茎内翻阴道成形术后深度不足的情况下。
我们的短期结果显示，源自达维多夫手术的腹膜瓣阴道成形术在改善功能和美学效果方面具有显著潜力，包括创建一个自润滑的新阴道。然而，该手术的复杂性需要先进的手术专业知识和适当的术后护理。患者选择也起着至关重要的作用，因为并非所有患者都是该手术的理想候选人。
尽管腹膜瓣技术前景广阔，但在男性变女性（MtF）性别确认手术中的广泛应用受到了几个挑战的阻碍，包括需要专业培训和潜在的术后并发症。因此，应根据个体患者因素将该技术视为传统方法的替代或补充。需要进一步的研究和广泛的临床试验，以更好地了解其潜力和局限性，从而增强男性变女性性别确认手术有效手术选择的手段。
