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bea p👻
@spatulatrix.beesky.social
aka spatulatrix aka benamas aka catricks mom aka the fso-is formerly known as et1(iw) aka the dragonase lab rat aka flamingspatula
344 followers208 following6.2k posts
BPspatulatrix.beesky.social

oh hell yeah okay so check it out i had robots all up in my shit like doctor octopus da urologist

OPERATIVE REPORT 9/22/2022 PREOPERATIVE DIAGNOSIS: Gender Dysphoria POSTOPERATIVE DIAGNOSIS: Same PROCEDURES PERFORMED: Robotic Penile inversion vaginoplasty with Supplemental Scrotal Skin Graft which Includes: 1. Total penectomy 2. Urethroplasty 3. Robotic Assisted Laparoscopy, surgical, colpopexy (suspension of vaginal apex) 4. Robotic Assisted Laparoscopic construction of artificial vagina with graft 5. Scrotectomy 6. Bilateral labiaplasty via adjacent tissue transfer of scrotal and mons skin flaps, ~12 cm x 5 cm bilaterally 7. Clitoroplasty 8. Perineal Flap 2cm x 2cm to augment posterior vaginal introitus SURGEON: REDACTED FELLOW: REDACTED RESIDENT(S): REDACTED ANESTHESIA: General ESTIMATED BLOOD LOSS: 100 ml COMPLICATIONS: None. SPECIMEN: Penis and Urethra DRAINS: - 16 Fr foley catheter - 4 x 12 cm allura vaginal stent - JP Drain x 3 - right and left labial, right lower quadrant BRIEF OPERATIVE INDICATIONS: REDACTED is a 36 year old transgender female with gender dysph
DESCRIPTION OF PROCEDURE: After informed consent was obtained and preoperative antibiotics were given, the patient was taken to the operating room, placed supine on the operating table. SCDs were utilized for VTE prophylaxis. General anesthesia was induced and she was intubated. The patient was placed in lithotomy. The genitalia and lower abdomen were prepped and draped in a sterile fashion. A timeout was performed. We opted for an early excision approach to scrotectomy. A butterfly shaped incision was made over the scrotum to excise extra skin. We then thinned the full thickness scrotal skin grafts on the back table. The scrotum was removed in entirety using electrocautery. A 16 Fr foley catheter was placed. A stab wound was made above the umbilicus and the abdomen was insufflated with a Veress needle. The remaining 4 ports for a total of 5 were placed in the standard fashion with the assistant port in the left paramedian location, 2 robotic ports on the right side, 1 robotic
We created a 2x2cm rectangular perineal flap at the posterior introitus. This was to augment the introitus and create a flatter posterior fourchette to allow future dilating. We dissected this carefully to ensure the skin remained viable after flap creation. The urethra was transected at the level of the distal bulbar urethra. The urethra was spatulated for about 3cm ventrally, allowing the dorsal aspect to be sewn to the neoclitoral and clitoral hood skin dorsally using 3-0 Vicryl interrupted suture - thus creating a mucosal, lubricated inner vulvar vestibule. The urethral spatulation ended at the mid bulbar urethra. The edges of the urethrotomy was oversewn to decrease bleeding and evert the mucosa. We then turned our attention to creating a midline opening superior to the penile skin tube. This midline opening would later become the opening for the clitoris and urethra. The wound was then irrigated with hemostasis obtained. The penile skin tube was then sewn to the scrot
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BGstalinatrix.kawaii.social

oh fuck yeah (i hope i didn't miss any names lmao)oh fuck yeah (i hope i didn't miss any names lmao)

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BP
bea p👻
@spatulatrix.beesky.social
aka spatulatrix aka benamas aka catricks mom aka the fso-is formerly known as et1(iw) aka the dragonase lab rat aka flamingspatula
344 followers208 following6.2k posts
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