Munhoz Alexandre Mendonça, Filassi José Roberto, Ricci Marcos Desidério, Aldrighi Claudia, Correia Leila Domingues, Aldrighi José Mendes, Ferreira Marcus Castro
São Paulo, Brazil From the Division of Plastic Surgery, University of São Paulo School of Medicine.
Plast Reconstr Surg. 2006 Oct;118(5):1237-1247. doi: 10.1097/01.prs.0000237003.24294.04.
Aesthetic surgery of female genitalia is an uncommon procedure, and of the techniques available, labia minora reduction can achieve excellent results. Recently, more conservative labia minora reduction techniques have been developed, because the simple isolated strategy of straight amputation does not ensure a favorable outcome. This study was designed to review a series of labia minora reductions using inferior wedge resection and superior pedicle flap reconstruction.
Twenty-one patients underwent inferior wedge resection and superior pedicle flap reconstruction. The mean follow-up was 46 months. Aesthetic results and postoperative outcomes were collected retrospectively and evaluated.
Twenty patients (95.2 percent) underwent bilateral procedures, and 90.4 percent of patients had a congenital labia minora hypertrophy. Five complications occurred in 21 patients (23.8 percent). Wound-healing problems were observed more frequently. The cosmetic result was considered to be good or very good in 85.7 percent of patients, and 95.2 percent were very satisfied with the procedure. All complications except one were observed immediately after the procedure.
The results of this study demonstrate that inferior wedge resection and superior pedicle flap reconstruction is a simple and consistent technique and deserves a place among the main procedures available. The complications observed were not unexpected and did not extend hospital stay or interfere with the normal postoperative period. The success of the procedure depends on patient selection, careful preoperative planning, and adequate intraoperative management.
女性生殖器美容手术是一种不常见的手术，在现有的技术中，小阴唇缩小术可以取得很好的效果。最近，由于单纯的直线切除这种简单孤立的策略不能确保良好的效果，更保守的小阴唇缩小技术已经被开发出来。本研究旨在回顾一系列采用下楔形切除术和上蒂皮瓣重建术的小阴唇缩小手术。
21例患者接受了下楔形切除术和上蒂皮瓣重建术。平均随访时间为46个月。回顾性收集并评估美学效果和术后结果。
20例患者（95.2%）接受了双侧手术，90.4%的患者有先天性小阴唇肥大。21例患者中发生了5例并发症（发生率为23.8%）。伤口愈合问题观察得更为频繁。85.7%的患者认为美容效果良好或非常好，95.2%的患者对手术非常满意。除1例并发症外，所有并发症均在术后立即观察到。
本研究结果表明，下楔形切除术和上蒂皮瓣重建术是一种简单且一致的技术，在现有主要手术方法中值得占有一席之地。观察到的并发症并非意外情况，也未延长住院时间或干扰正常的术后恢复。手术的成功取决于患者的选择、仔细的术前规划和充分的术中管理。
