<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2444-054X</journal-id>
<journal-title><![CDATA[Cirugía y cirujanos]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. cir.]]></abbrev-journal-title>
<issn>2444-054X</issn>
<publisher>
<publisher-name><![CDATA[Academia Mexicana de Cirugía A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2444-054X2025000200007</article-id>
<article-id pub-id-type="doi">10.24875/ciru.23000380</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Complications in transgender patients undergoing vaginoplasty procedure]]></article-title>
<article-title xml:lang="es"><![CDATA[Complicaciones en pacientes transgénero sometidas a procedimiento de vaginoplastia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delgado-Guerrero]]></surname>
<given-names><![CDATA[Francisco]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital General de Tlahuac Servicio de Urologia ]]></institution>
<addr-line><![CDATA[Mexico City ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>2</numero>
<fpage>177</fpage>
<lpage>180</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2444-054X2025000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2444-054X2025000200007&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2444-054X2025000200007&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To report the statistics of complications in gender reassignment surgery (vaginoplasty) observed in the first surgical center in Mexico for public transgender surgery.  Method: We conducted a descriptive, observational study of patients treated and postoperatively underwent vaginoplasty surgery in the period 2019 to 2022. Intraoperative, immediate and late complications were evaluated. Intraoperative complications were taken as: rectal perforation and bleeding. Immediate complications: wound dehiscence, hematoma, and necrosis of the vaginal segment. Late complications: urethrovaginal fistula, rectovaginal fistula, and stenosis of the vaginal introitus.  Results: Twenty-two patients who underwent vaginoplasty with inversion of the foreskin were evaluated. Regarding immediate complications, the most frequent were alterations in scarring and tissue integration, being necrosis of the vaginal segment the most frequent. As for late complications, only vaginal prolapse and urethral stricture were found.  Conclusion: Foreskin inversion vaginoplasty is the most widely used and safest technique worldwide, above colovaginoplasty and peritoneal vaginoplasty techniques, and fortunately serious complications are rare. In our report, tissue alterations were the common ones and that is secondary alteration of vascular integration and devascularization factors during the dissection.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Reportar la estadística de complicaciones en cirugía de reasignación de genero (vaginoplastia) observadas, en el primer centro quirúrgico en México de cirugía transgénero público.  Método: Realizamos un estudio descriptivo y observacional de las pacientes tratadas y post-operadas de cirugía de vaginoplastia en el periodo de 2019 a 2022. Se evaluaron las complicaciones intraoperatorias, inmediatas y tardías. Se consideraron complicaciones intraoperatorias la perforación rectal y el sangrado. Complicaciones inmediatas: dehiscencia de herida, hematoma y necrosis del segmento vagina. Complicaciones tardías: fístula uretrovaginal, fístula rectovaginal y estenosis del introito vaginal.  Resultados: Se evaluaron 22 pacientes a las que se les realizó vaginoplastia con inversión del prepucio. En cuanto a las complicaciones inmediatas, las más frecuentes fueron las alteraciones en la cicatrización y la integración tisular, siendo la necrosis del segmento vaginal la más frecuente. En cuanto a las complicaciones tardías, solo se encontraron prolapso vaginal y estenosis uretral.  Conclusión: La vaginoplastia con inversión de prepucio es la técnica más usada mundialmente y la más segura, por arriba de las técnicas de colovaginoplastia y vaginoplastia peritoneal, y las complicaciones graves son pocos comunes, afortunadamente. En nuestro reporte las alteraciones tisulares fueron las comunes y eso es secundario a la alteración de la integración vascular y los factores de desvascularización durante la disección.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Transgender health]]></kwd>
<kwd lng="en"><![CDATA[Post-operative complications]]></kwd>
<kwd lng="en"><![CDATA[Reconstructive surgical procedure]]></kwd>
<kwd lng="es"><![CDATA[Salud transgénero]]></kwd>
<kwd lng="es"><![CDATA[Complicaciones postoperatorias]]></kwd>
<kwd lng="es"><![CDATA[Procedimiento quirúrgico reconstructivo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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