Oranges Carlo Maria, Sisti Andrea, Sisti Giovanni
Dr Oranges is a Resident in the Plastic, Reconstructive and Aesthetic Surgery School, Marche Polytechnic University, Ancona, Italy. Dr A. Sisti is a Resident in the General and Specialist Surgery Department, Plastic Surgery Division, University of Siena, Siena, Italy. Dr G. Sisti is a Resident in the Department of Science for Woman and Child Health, University of Florence, Florence, Italy.
Aesthet Surg J. 2015 May;35(4):419-31. doi: 10.1093/asj/sjv023.
Many studies of techniques to reduce the labia minora have been published in recent decades, including case reports and retrospective case series. However, to date, there has been no study of the overall complications or satisfaction rates associated with the broad spectrum of techniques.
The authors performed a comprehensive literature review to determine outcomes and complications of labiaplasty techniques, including patient satisfaction.
A search on PubMed/Medline was performed with the keywords labiaplasty, labioplasty, labial hypertrophy, and techniques plus labia minora reduction. The inclusion criterion was clinical studies in which techniques of labia minora reduction were described. Excluded from the study were publications not dealing with surgical procedures and review articles.
Thirty-eight studies, published from 1971 through 2014, were included; this represented 1981 treated patients. Eight labiaplasty techniques were identified from these studies: edge resection, wedge resection, deepithelialization, W-plasty, laser labiaplasty, custom flask, fenestration, and composite reduction. Satisfactory results, judged from clinical examination, were observed with all 8 techniques. Few postoperative complications occurred. In a small number of cases, complications required surgical revision or secondary resection.
All 8 labiaplasty techniques resulted in good outcomes, including high patient satisfaction and low morbidity.
近几十年来，已经发表了许多关于缩小小阴唇技术的研究，包括病例报告和回顾性病例系列。然而，迄今为止，尚未有关于广泛技术相关的总体并发症或满意率的研究。
作者进行了全面的文献综述，以确定阴唇整形术技术的结果和并发症，包括患者满意度。
在PubMed/Medline上使用关键词阴唇整形术、阴唇成形术、阴唇肥大、技术以及小阴唇缩小进行搜索。纳入标准是描述小阴唇缩小技术的临床研究。该研究排除了非手术相关的出版物和综述文章。
纳入了1971年至2014年发表的38项研究；这代表了1981例接受治疗的患者。从这些研究中确定了8种阴唇整形术技术：边缘切除术、楔形切除术、去上皮化、W形整形术、激光阴唇整形术、定制烧瓶法、开窗术和复合切除术。从临床检查判断，所有8种技术均观察到满意的结果。术后并发症很少发生。在少数情况下，并发症需要手术修复或二次切除。
所有8种阴唇整形术技术均取得了良好的效果，包括患者满意度高和发病率低。
