Laparoscopic Ascending Colon Neovagina Reconstruction for Severe Stricture of the Sigmoid Neovagina in a Transgender Woman: A Case Report

A surgical technique for neovaginal reconstruction in severe rectosigmoid vagina stricture in a trans woman has described that used laparoscopic cecum-ascending colon pedicled flap. The segment of cecum-ascending colon is based on the right colic artery, a branch of the superior mesenteric artery. The ileocecal valve is preserved; the cecum-ascending colon segment is a reverse direction and counter-clockwise rotation. This provides excellent results with adequate length. No complication was found postoperatively.