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This chapter explores the significant advances in robotic surgery for gender-affirming procedures. Using the da Vinci® SP Surgical System, there is improved safety and innovation in performing robotic peritoneal flap vaginoplasty (RPFV), revision vaginoplasty, and vaginectomy. The chapter details preoperative considerations, including patient selection and preparation, operative setup and techniques, and postoperative management. The collaboration between urology and plastic surgery is highlighted, emphasizing the importance of multidisciplinary approaches. The chapter also addresses common complications and strategies to avoid them, ensuring optimal patient outcomes.

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Robotic Approaches to Gender-Affirming Surgery

  • 章节

  • 发表日期：

    2025年

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  • Alex Wang,
  • Ashley Alford,
  • Tenny Zhang,
  • Jeffrey S. Lin,
  • Rachel Bluebond-Langner,
  • Lee C. Zhao

摘要

This chapter explores the significant advances in robotic surgery for gender-affirming procedures. Using the da Vinci® SP Surgical System, there is improved safety and innovation in performing robotic peritoneal flap vaginoplasty (RPFV), revision vaginoplasty, and vaginectomy. The chapter details preoperative considerations, including patient selection and preparation, operative setup and techniques, and postoperative management. The collaboration between urology and plastic surgery is highlighted, emphasizing the importance of multidisciplinary approaches. The chapter also addresses common complications and strategies to avoid them, ensuring optimal patient outcomes.