Ostrzenski Adam
Institute of Gynecology, Inc., 7001 Central Avenue, St. Petersburg, FL 33710, USA.
ISRN Obstet Gynecol. 2014 Feb 4;2014:671068. doi: 10.1155/2014/671068. eCollection 2014.
Objectives. To test applicability of the new surgical concept for labioreduction of the labia minora. Study Design. The observational, prospective, case series study was designed. Subjects. Three consecutive subjects were included. Methods. The application of new surgical intervention was tested. Main Outcome Measures. A primary outcome measured applicability of the fenestration labioplasty and secondary measures was used to evaluate surgical resolution of medical, emotional, and social symptoms; aesthetic outcomes; and potential complications. Results. Symptomatic, asymmetrical, and enlarged labia minora were associated with aesthetic dissatisfaction from deformations of the labia minora. The new operation was applied easily and without complications. The procedure reduced height and length, accomplished symmetries, preserved natural color and contour, and accomplished the labium minus expected appearance. Postoperatively, physical, emotional, social symptoms and signs resolved, pleasing surgical outcomes exceeded subjects' aesthetic expectations. Meaningfully, self-image and self-confidence improved in all subjects. No feelings of regrets were reported. Emotional tensions were reduced, social openness improved, intimate interaction increased, and their body image perception improved following the operation. Conclusion. In this study group, fenestration labioreduction with inferior flap transposition was easy to execute without complications and the method was reproducible; the new operation achieves pleasing aesthetic results and the procedure improves physical, emotional, and social wellbeing.
目的。测试阴唇缩小术新手术概念的适用性。研究设计。设计了观察性、前瞻性病例系列研究。对象。纳入了连续3名受试者。方法。测试新手术干预的应用。主要观察指标。主要观察指标为开窗式阴唇成形术的适用性，次要指标用于评估医学、情感和社会症状的手术解决情况、美学效果以及潜在并发症。结果。有症状的、不对称的及增大的小阴唇与小阴唇畸形导致的美学不满意相关。新手术操作简便且无并发症。该手术减小了高度和长度，实现了对称，保留了自然颜色和轮廓，达到了小阴唇预期的外观。术后，身体、情感、社会症状和体征得到解决，令人满意的手术效果超出了受试者的美学期望。有意义的是，所有受试者的自我形象和自信心均有所改善。未报告后悔情绪。术后情绪紧张减轻，社交开放性提高，亲密互动增加，身体形象认知得到改善。结论。在该研究组中，采用下皮瓣转移的开窗式阴唇缩小术易于实施且无并发症，该方法具有可重复性；新手术取得了令人满意的美学效果，该手术改善了身体、情感和社会幸福感。
