Dicle University, Medical Faculty Department of Plastic, Reconstructive and Aesthetic Surgery, Diyarbakir, Turkey.
J Plast Reconstr Aesthet Surg. 2013 Sep;66(9):e246-50. doi: 10.1016/j.bjps.2013.04.006. Epub 2013 May 7.
The aim of this study is to describe a technique for and data from vaginoplasty surgeries performed using a pudendal thigh flap (PTF) thinned with liposuction.
A total of six patients diagnosed with Müllerian agenesis underwent vaginoplasty procedures using this technique between January 2009 and April 2012. The age range of the patients was 19-24 years. In the first stage, the subcutaneous fat tissue under the planned skin flap islands was thinned with liposuction. After 3 months, the second stage of the procedure was carried out and the PTFs were elevated.
Complications such as infection, dehiscence of the suture line and haematoma were not observed in any of the patients. Although a partial flap loss was observed at the distal aspect of a flap in one patient, total healing was achieved through debridement and local wound care. Mean tissue flap thickness was found to be thinner, and adequate vaginal depth was achieved in all patients on average 13 months following surgery.
We are of the opinion that PTFs thinned with liposuction enable both a thinner tissue flap and a vaginal reconstruction that more closely resembles natural anatomy.
本研究旨在描述一种使用阴部股皮瓣（PTF）进行阴道成形术的技术，并提供相关数据。该技术采用吸脂术对 PTF 进行减薄。
2009 年 1 月至 2012 年 4 月期间，共有 6 例诊断为米勒氏管发育不全的患者接受了该技术的阴道成形术。患者年龄在 19-24 岁之间。在第一阶段，通过吸脂术对计划皮瓣岛下的皮下脂肪组织进行减薄。3 个月后，进行第二阶段手术，抬高 PTF。
所有患者均未出现感染、缝线裂开和血肿等并发症。虽然一名患者的一个皮瓣远端出现部分皮瓣坏死，但通过清创和局部伤口护理，最终完全愈合。术后平均 13 个月，所有患者的组织瓣厚度均变薄，阴道深度适中，与自然解剖结构更为相似。
我们认为，吸脂术减薄后的 PTF 可以使组织瓣更薄，并重建更接近自然解剖结构的阴道。
