Karabağlı Yakup, Kocman Emre Atacan, Velipaşaoğlu Melih, Kose Aydan A, Ceylan Sezi, Cemboluk Ozlem, Cetin Cengiz
Department of Plastic Reconstructive Aesthetic Surgery, Osmangazi University Faculty of Medicine, ESOGÜ Meşelik Yerleşkesi, 26040, Eskisehir, Turkey.
Aesthetic Plast Surg. 2015 Jun;39(3):289-93. doi: 10.1007/s00266-015-0474-z. Epub 2015 Apr 3.
Esthetic surgery of external female genitalia remains an uncommon procedure. This article describes a novel, de-epithelialized, labial rim flap technique for labia majora augmentation using de-epithelialized labia minora tissue otherwise to be excised as an adjunct to labia minora reduction.
Ten patients were included in the study. The protruding segments of the labia minora were de-epithelialized with a fine scissors or scalpel instead of being excised, and a bulky section of subcutaneous tissue was obtained. Between the outer and inner surfaces of the labia minora, a flap with a subcutaneous pedicle was created in continuity with the de-epithelialized marginal tissue. A pocket was dissected in the labium majus, and the flap was transposed into the pocket to augment the labia majora.
Mean patient age was 39.9 (±13.9) years, mean operation time was 60 min, and mean follow-up period was 14.5 (±3.4) months. There were no major complications (hematoma, wound dehiscence, infection) following surgery. No patient complained of postoperative difficulty with coitus or dyspareunia. All patients were satisfied with the final appearance.
Several methods for labia minora reduction have been described. Auxiliary procedures are required with labia minora reduction for better results. Nevertheless, few authors have taken into account the final esthetic appearance of the whole female external genitalia. The described technique in this study is indicated primarily for mild atrophy of the labia majora with labia minora hypertrophy; the technique resulted in perfect patient satisfaction with no major complications or postoperative coital problems.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
女性外生殖器美容手术仍然是一种不常见的手术。本文描述了一种新颖的去上皮化阴唇边缘皮瓣技术，用于大阴唇增大，该技术使用原本要切除的去上皮化小阴唇组织作为小阴唇缩小术的辅助手段。
本研究纳入了10名患者。小阴唇突出部分用精细剪刀或手术刀去上皮化，而不是切除，从而获得一大块皮下组织。在小阴唇的外表面和内表面之间，创建一个带有皮下蒂的皮瓣，使其与去上皮化的边缘组织相连。在大阴唇中解剖出一个腔隙，将皮瓣转移到该腔隙中以增大阴唇。
患者平均年龄为39.9（±13.9）岁，平均手术时间为60分钟，平均随访期为14.5（±3.4）个月。术后无重大并发症（血肿、伤口裂开、感染）。没有患者抱怨术后性交困难或性交疼痛。所有患者对最终外观均满意。
已经描述了几种小阴唇缩小的方法。小阴唇缩小术需要辅助手术以获得更好的效果。然而，很少有作者考虑到整个女性外生殖器的最终美学外观。本研究中描述的技术主要适用于大阴唇轻度萎缩伴小阴唇肥大的情况；该技术使患者完全满意，无重大并发症或术后性交问题。
证据等级IV：本杂志要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
