Kaya Aski Ellibes, Dogan Ozan, Yassa Murat, Basbug Alper, Çalışkan Eray
Department of Obstetrics and Gynecology, Duzce University Hospital, Duzce, Turkey.
Department of Obstetrics and Gynecology, Health Sciences University, Sisli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey.
Geburtshilfe Frauenheilkd. 2018 Aug;78(8):775-784. doi: 10.1055/a-0647-2404. Epub 2018 Aug 20.
Aim of the study was to assess the feasibility of a novel technique to determine the vascularity of labia minora prior to labiaplasty. A cold light source employed in laparoscopic procedures was used to illuminate the outer surface of the labia minora as described in this prospective descriptive study. Of the patients, 46.1% (n = 41) had upper third prominence, 36% (n = 32) had middle third prominence, and 18% (n = 16) had lower third prominence according to the Banwell classification of morphologies. Right labia minora width was 0 - 2 cm in 51.7% (n = 46), 2 - 4 cm in 47.2% (n = 42) and > 4 cm in 1.1% (n = 1) of cases. Left labia minora width was 0 - 2 cm in 52.8% (n = 47), 2 - 4 cm in 41.6% (n = 37) and > 4 cm in 5.6% (n = 5) of cases. The incidence of Anterior 2 and Posterior 1 vessels in the different morphologies were statistically significantly different (p = 0.007, p = 0.018). The Anterior 2 vessel was higher in the lower morphology group whereas the Posterior 1 vessel was higher in the upper morphology group. A central vessel was observed in 93.3% (n = 83) of patients in the left labium minus and the right labium minus. The incidence of the Posterior 1 vessel was significantly higher in the left labium minus than in the right labium minus (p = 0.021). This novel technique to assess labial vascularity using a cold light source could be very useful to reduce dehiscence by avoiding excessive resection of highly vascularized tissue. Most units can easily access a cold light source, which can be used to assess labial vascularity prior to labiaplasty.
本研究的目的是评估一种新技术在阴唇整形术前确定小阴唇血管分布的可行性。在这项前瞻性描述性研究中，使用腹腔镜手术中使用的冷光源照亮小阴唇的外表面。根据Banwell形态学分类，46.1%（n = 41）的患者有上三分之一突出，36%（n = 32）有中三分之一突出，18%（n = 16）有下三分之一突出。51.7%（n = 46）的病例右侧小阴唇宽度为0 - 2 cm，47.2%（n = 42）为2 - 4 cm，1.1%（n = 1）大于4 cm。52.8%（n = 47）的病例左侧小阴唇宽度为0 - 2 cm，41.6%（n = 37）为2 - 4 cm，5.6%（n = 5）大于4 cm。不同形态中小阴唇前2支血管和后1支血管的发生率在统计学上有显著差异（p = 0.007，p = 0.018）。下形态组前2支血管较多，而上形态组后1支血管较多。在左侧小阴唇和右侧小阴唇中，93.3%（n = 83）的患者观察到中央血管。左侧小阴唇后1支血管的发生率显著高于右侧小阴唇（p = 0.021）。这种使用冷光源评估阴唇血管分布的新技术对于避免过度切除血管丰富的组织以减少裂开可能非常有用。大多数单位可以很容易地获得冷光源，可用于在阴唇整形术前评估阴唇血管分布。
