Laparoendoscopic single-site surgery for male pseudohermaphroditism: the initial report / 南方医科大学学报
Journal of Southern Medical University
; (12): 933-936, 2011.
Article
in Zh
| WPRIM
| ID: wpr-332512
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the therapeutic effect of laparoendoscopic single-site surgery (LESS) for treatment of male pseudohermaphroditism.</p><p><b>METHODS</b>A 17-year-old patient with male pseudohermaphroditism and a female social sex was admitted. According to the request by the patient and the relatives for a female gender, LESS vaginoplasty and cryptorchidectomy were performed using a single multilumen port inserted through a 2.5 cm incision below the umbilicus, followed by reconstruction of the perineal region by open surgery.</p><p><b>RESULTS</b>The total operative time was 7 h, and the LESS procedure lasted for about 3.5 h. No other port incision was needed. The estimated intraoperative blood loss was 400 ml. No electrolyte or metabolic acid-base balance disorders were observed perioperatively. In the follow-up examination at 6 months after the operation, the reconstructed vagina healed smoothly without obvious contraction or fixation failure, and the perineal region showed good appearance.</p><p><b>CONCLUSION</b>With minimal invasiveness, LESS surgery produces good cosmetic effect and allows rapid postoperative recovery, thus may become a promising alternative to the management of pseudohermaphroditism.</p>
Full text:
1
Database:
WPRIM
Main subject:
General Surgery
/
Vagina
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Laparoscopy
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Plastic Surgery Procedures
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Disorder of Sex Development, 46,XY
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Methods
Limits:
Adolescent
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Female
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Humans
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Male
Language:
Zh
Journal:
Journal of Southern Medical University
Year:
2011
Document type:
Article