Received 3 January 2008; accepted 3 April 2008. published online 27 May 2008.
Objectives
We describe an innovative approach to sigmoid vaginoplasty that uses robotic-assisted laparoscopy and 1 perineal incision.
Methods
Our patient is a 17-year-old 46 XY adolescent. This patient had surgery performed in July 2007. The procedure was performed through 1 camera port and 3 working ports.
Results
The intra-abdominal portion of surgery was performed entirely with a Davinci S robot (Intuitive Surgical, Sunnyvale, CA). The total time in the operating room was 9 hours and 45 minutes. The patient was discharged home on postoperative day 4. On follow-up at 10 months, the patient is dilating successfully with no complications.
Conclusions
The use of minimally invasive surgery continues to grow and evolve. This case represents the first reported robotically assisted laparoscopic sigmoid vaginoplasty. The favorable results support its use as another option for a challenging surgery in which cosmetic results are so important.
Connecticut Children's Medical Center, Hartford, Connecticut
Reprint requests: Christina Kim, M.D., Connecticut Children's Medical Center, 282 Washington St-2E, Hartford, CT 06106
ABSTRACT