EP.22 | Gender-Affirming Surgery Using Laparoscopic Technique

Laparoscopic surgery offers more than just smaller wounds, less pain, and faster recovery.

In gender-affirming procedures that use the colon, this technique has proven to be safer and more effective than traditional open surgery in several ways:

✔️ No damage to abdominal muscles – Helps prevent a bulging or sagging belly, like what many people experience after childbirth

✔️ Lower risk of internal adhesions – Reduces chances of chronic abdominal pain and bowel obstruction

✔️ Easier to perform in patients with a high BMI or a narrow pelvis

✔️ Allows detection of hidden conditions — such as an undescended testis, which can carry a cancer risk if left untreated In this case, doctor Chettasak discovered an undescended testis inside the abdomen during colon vaginoplasty surgery and removed it safely within 5 minutes, helping prevent future risk of cancer

第22集｜腹腔镜技术在性别肯定手术中的优势（Laparoscopic GAS）腹腔镜手术的优点不仅仅是伤口小、疼痛少、恢复快 —— 在使用肠道进行的性别肯定手术中，这种技术在多个方面比传统开腹手术更安全、效果更佳： ✔️ 不破坏腹部肌肉 —— 减少术后腹部松弛、鼓起的情况，类似于产后腹部变化

✔️ 降低腹腔粘连风险 —— 有助于预防慢性腹痛及肠道阻塞

✔️ 适用于高BMI或骨盆狭窄患者 —— 手术更容易进行

✔️ 能发现其他隐藏问题 —— 例如“隐睾”，若不处理可能增加癌变风险在这种情况下，Chettasak 医生在进行结肠阴道成形术时，发现了一颗隐睾藏在腹腔内，

并在 5 分钟内安全将其切除，从而帮助预防未来的癌变风险。