Furnas Heather J, Canales Francisco L, Pedreira Rachel A, Comer Carly, Lin Samuel J, Banwell Paul E
Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Palo Alto, Calif.
Plastic Surgery Associates, Santa Rosa, Calif.
Plast Reconstr Surg Glob Open. 2021 Jul 6;9(7):e3660. doi: 10.1097/GOX.0000000000003660. eCollection 2021 Jul.
The purpose of this article is to guide surgeons in the safe practice of female genital plastic surgery when the number of such cases is steadily increasing. A careful review of salient things to look for in the patient's motivation, medical history, and physical examination can help the surgeon wisely choose best candidates. The anatomy is described, with particular attention given to the variations not generally described in textbooks or articles. Descriptions are included for labiaplasty, including clitoral hood reduction, majoraplasty, monsplasty, and perineoplasty with vaginoplasty. Reduction of anesthetic risks, deep venous thromboses, and pulmonary emboli are discussed, with special consideration for avoidance of nerve injury and compartment syndrome. Postoperative care of a variety of vulvovaginal procedures is discussed. Videos showing anatomic variations and surgical techniques of common female genital procedures with recommendations to reduce the complication rate are included in the article.
随着女性生殖器整形手术案例数量稳步增加，本文旨在指导外科医生安全开展此类手术。仔细审视患者动机、病史及体格检查中的关键要点，有助于外科医生明智地挑选最佳手术对象。文中描述了相关解剖结构，特别关注了教科书或文章中通常未提及的变异情况。内容涵盖阴唇整形术（包括阴蒂包皮缩小术）、大阴唇整形术、阴阜整形术以及会阴整形术与阴道成形术。讨论了降低麻醉风险、深静脉血栓形成和肺栓塞的方法，特别考虑了避免神经损伤和骨筋膜室综合征。还讨论了各种外阴阴道手术的术后护理。本文包含展示常见女性生殖器手术解剖变异和手术技巧的视频，并给出了降低并发症发生率的建议。
