Legaillard P, Pelissier P, Peres J M, Martin D, Baudet J
Service de Chirurgie Plastique Reconstructice et Esthétique, Hôpital du Tondu, Bordeaux.
Ann Chir Plast Esthet. 1994 Feb;39(1):43-55; discussion 56.
After briefly reviewing the history of transsexual surgery, the authors explain their technical choices and present their experience based on a series of 19 patients, 11 male transsexuals and 8 female transsexuals. The results are analysed. The potential complications of surgery in female transsexuals are those of microsurgical techniques aggravated by treatment with testosterone, as well as urethral fistulae and strictures. In addition to prevention of thromboses, the authors palliate these complications by ulnar elongation of the radial forearm flap in order to minimise the factors responsible for urethral fistulae, combined with enlargement of this flap to decrease the risk of stricture. The complications in male transsexuals essentially consist of rectoneovaginal fistulae. Problems of the depth of the neovagina are also important. Two rectoneovaginal fistulae were observed in this series of 11 patients, both treated medically. The unit's experience in this field will be continued in order to further improve the results.
在简要回顾变性手术的历史之后，作者解释了他们的技术选择，并基于19例患者（11例男性变性者和8例女性变性者）介绍了他们的经验。对结果进行了分析。女性变性者手术的潜在并发症是显微外科技术并发症因睾酮治疗而加重，以及尿道瘘和尿道狭窄。除了预防血栓形成外，作者通过桡侧前臂皮瓣尺侧延长来缓解这些并发症，以尽量减少导致尿道瘘的因素，并扩大该皮瓣以降低狭窄风险。男性变性者的并发症主要包括直肠阴道瘘。新阴道深度问题也很重要。在这11例患者系列中观察到2例直肠阴道瘘，均采用药物治疗。该科室在这一领域的经验将继续积累，以进一步改善治疗效果。
