Chappell Ava G, Sood Rachita, Hu Andrew, Folsom Susan M, Wafford Q Eileen, Bowen Diana K, Post Lori A, Jordan Sumanas W
Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, 675N. Saint Clair St, 19-250, Chicago, IL 60611, United States; Institute for Global Health, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States; Buehler Center for Health Policy and Economics, Northwestern University Feinberg School of Medicine. Chicago, IL, United States.
Division of Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, 675N. Saint Clair St, 19-250, Chicago, IL 60611, United States.
J Plast Reconstr Aesthet Surg. 2021 Oct;74(10):2467-2478. doi: 10.1016/j.bjps.2021.05.022. Epub 2021 Jun 6.
Over 200 million women and girls worldwide have suffered from the partial to total removal of external female genitalia for nonmedical purposes, referred to as female genital mutilation (FGM). Survivors of FGM may develop debilitating physical and psychological long-term sequelae. This is the first study to examine the scope of the extant surgical literature on the management of FGM-related morbidity.
A systematic scoping review of five major research citation databases was conducted.
A total of 190 articles from 29 countries met the inclusion criteria. The majority (76%) were primary source articles and from obstetrics and gynecology literature (71%). Reported interventions for FGM-related morbidity were defibulation, cyst excision, clitoral and vulvar reconstruction, urological reconstruction, peripartum procedures, labial adhesion release, and reinfibulation.
Surgery for FGM complications spans multiple specialties, which suggests multidisciplinary collaboration benefit. Plastic and reconstructive surgeons have a clear role in the multidisciplinary care team for these patients. This scoping review identified a paucity of high-quality evidence with respect to functional quality of life outcomes and long-term follow-up.
全球超过2亿妇女和女孩因非医疗目的遭受了部分或全部切除女性外生殖器的行为，即女性生殖器切割（FGM）。FGM幸存者可能会出现长期的身心衰弱后遗症。这是第一项研究现存关于FGM相关并发症治疗的外科文献范围的研究。
对五个主要研究引文数据库进行了系统的范围综述。
来自29个国家的190篇文章符合纳入标准。大多数（76%）是原始资料文章，且来自妇产科文献（71%）。报告的针对FGM相关并发症的干预措施包括阴蒂切开术、囊肿切除术、阴蒂和外阴重建术、泌尿外科重建术、围产期手术、阴唇粘连松解术和重新缝合。
FGM并发症的手术涉及多个专业，这表明多学科合作有益。整形和重建外科医生在这些患者的多学科护理团队中有着明确的作用。这项范围综述发现，关于生活质量功能结果和长期随访的高质量证据很少。
