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大腸を使用して膣の壁を作る技術で、約7 – 8インチの大腸を使用します。これはSigmoidおよびUpper Rectumの部分を使用します。この技術は、生殖器の周囲の組織が不十分な人、以前に。

大腸法（s字結腸法） ... では2007年まで原科孝雄が形成外科教授であったこともあり、日本で初めて公性転換大腸法式な性転換手術を施行し、症例数も多く、技術的に難しく国内では前例がなかったftm（女性から男性へ）の性転換手術にも実績が。

この場合は、s字結腸接続膣形成による性転換手術が必要です。 下腹部を15センチ程度開腹し、直腸と大腸を繋いでいるS字結腸を10数センチ血管や神経など接続した状態で切り離し、膣。

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