{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T15:27:01Z","timestamp":1764084421756,"version":"3.40.5"},"reference-count":15,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T00:00:00Z","timestamp":1635811200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Gender dysphoria is the disagreement between the gender of birth and the one with which the patient identifies. For its management it is mandatory to have a multidisciplinary team. Gender confirmation surgery with penoscrotal skin flap is the procedure of choice, and a sigmoid vaginoplasty is a feasible alternative. The new technologies and the help of indocyanine green (ICG) fluorescence can help to guarantee a correct neovagina vascularization. The objective of this paper is to present the surgical technique of laparoscopic sigmoid vaginoplasty assisted by ICG.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We present two patients with gender dysphoria and a history of stricture of the penoscrotal skin flap vaginoplasty. We performed sigmoid vaginoplasty by the laparoscopic approach. We began the procedure with the mobilization and section of 30\u00a0cm of sigmoid colon, selective ligation of the vessels assisted by ICG, 180\u00b0 sigmoid rotation, externalized on antiperistaltic position, construction of colovestibular anastomosis and promontory fixation. We finished the procedure with virtual ileostomy construction and drain placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients recovered satisfactorily and were discharged on the seventh day after surgery without complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sigmoid vaginoplasty is a safe and feasible procedure. ICG has great value, contributing to the selective ligation of the vessels, allowing 180\u00b0 sigmoid rotation and guaranteeing the irrigation of the neovagina.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.15952","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T23:30:58Z","timestamp":1634340658000},"page":"3272-3275","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Gender dysphoria: laparoscopic sigmoid vaginoplasty. Another utility of indocyanine green"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3399-9477","authenticated-orcid":false,"given":"Blas","family":"Flor\u2010Lorente","sequence":"first","affiliation":[{"name":"Colorectal Surgery Unit Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2105-6316","authenticated-orcid":false,"given":"Jose Gerardo","family":"Rosciano","sequence":"additional","affiliation":[{"name":"Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"P\u00e9rez\u2010P\u00e9rez","sequence":"additional","affiliation":[{"name":"General Surgery Unit Hospital Lluis Alcanyis de Xativa  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4151-1782","authenticated-orcid":false,"given":"Jorge","family":"Sancho\u2010Muriel","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Garc\u00eda\u2010Granero","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Hospital Universitario Son Espases  Palma de Mallorca Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6626-5472","authenticated-orcid":false,"given":"Francisco Jose","family":"Nohales\u2010Alfonso","sequence":"additional","affiliation":[{"name":"Gynecology Unit. Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6659-5391","authenticated-orcid":false,"given":"Vicent","family":"Primo\u2010Romaguera","sequence":"additional","affiliation":[{"name":"Colorectal Surgery Unit Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7052-2283","authenticated-orcid":false,"given":"Eduardo Antonio","family":"Sim\u00f3n\u2010Sanz","sequence":"additional","affiliation":[{"name":"Plastic Surgery Unit. Hospital Universitario y Polit\u00e9cnico la Fe  Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,2]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2018.0014"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1071\/SH17067"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2018.01.016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2018.03.006"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4158\/EP161727.OR"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12538"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ucl.2019.07.007"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2015.04.005"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12868"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)59931-0"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2018.1482220"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2016.01.008"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001393"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-020-03741-5"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-020-03729-1"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15952","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.15952","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.15952","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T08:00:29Z","timestamp":1693209629000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.15952"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,2]]},"references-count":15,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/codi.15952"],"URL":"https:\/\/doi.org\/10.1111\/codi.15952","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"type":"print","value":"1462-8910"},{"type":"electronic","value":"1463-1318"}],"subject":[],"published":{"date-parts":[[2021,11,2]]},"assertion":[{"value":"2021-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-02","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}