Primeros casos en México de cirugía de reasignación de género (vaginoplastia) con xenoinjerto de tilapia.
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| Title: | Primeros casos en México de cirugía de reasignación de género (vaginoplastia) con xenoinjerto de tilapia. |
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| Alternate Title: | First cases in Mexico of gender reassignment surgery (vaginoplasty), with tilapia xenograft. |
| Authors: | Delgado Guerrero, Francisco1, Hernández Arsola, Mary Carmen2 |
| Source: | Ginecología y Obstetricia de México. Nov2025, Vol. 93 Issue 11, p465-471. 7p. |
| Subjects: | VAGINOPLASTY, XENOGRAFTS, TISSUE engineering, SURGERY, BIOMEDICAL materials, GENDER affirmation surgery, VAGINAL surgery |
| Geographic Terms: | MEXICO |
| Abstract (English): | OBJETIVE To present a surgical approach to gender reassignment (vaginoplasty) involving the use of tilapia skin grafts. MATERIALS ANS METHODS: A series of cases of patients treated between April 2023 and December 2024 with one of the following conditions: a non-webbed scrotum; a foreskin measuring less than 6 cm; or a history of orchiectomy that prevented the use of the scrotum as an allograft. Tilapia skin was instead chosen as the graft. RESULTS: The main intraoperative complication during vaginoplasty with foreskin inversion was lack of skin on the penis, making it unfeasible to use scrotal skin as a graft. Tilapia skin was used as an alternative, as it is a biocompatible material and an effective solution for these cases. CONCLUSIONS: Vaginoplasty using a tilapia skin xenograft is a viable surgical alternative for creating a functional neovagina with tissue resembling vaginal mucosa at a low cost with reduced morbidity. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | OBJETIVO: Reportar una alternativa quirúrgica para reasignación de género (vaginoplastia) con injerto de piel de tilapia. MATERIALES Y MÉTODOS: Serie de casos de pacientes atendidas entre abril del 2023 y diciembre del 2024 con alguna de las siguientes alteraciones: escroto no palmeado, prepucio menor de 6 cm o antecedentes de orquiectomía que impidieron el uso del escroto como aloinjerto y, en su lugar, se optó por piel de tilapia como injerto. RESULTADOS: Las principales complicaciones intraoperatorias durante la vaginoplastia con inversión de prepucio fueron: falta de piel en el pene, lo que hizo inviable recurrir a la piel escrotal como injerto. Como alternativa se utilizó piel de tilapia, un material biocompatible y solución para estos casos. CONCLUSIONES: La vaginoplastia con xenoinjerto de piel de tilapia es una alternativa quirúrgica viable para la creación de una neovagina con anatomía funcional, con tejido similar a la mucosa vaginal, de bajo costo y menor morbilidad. [ABSTRACT FROM AUTHOR] |
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| Database: | MedicLatina |
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