Tremp Mathias, Oranges Carlo M, Schaefer Dirk J, Waldkircher Natascha J, Schleh Andrea C, Kalbermatten Daniel F
Faculty of Medicine, University of Basel, Basel, BS, Switzerland.
Hirslanden Private Hospital Group, Cham, Switzerland.
Plast Reconstr Surg Glob Open. 2021 Sep 13;9(9):e3810. doi: 10.1097/GOX.0000000000003810. eCollection 2021 Sep.
In recent years, the demand for genital plastic procedures has increased. Of those, the reduction of the labia minora has become very popular. Several techniques are described, with all its advantages and disadvantages. The aim of this study is to introduce a novel approach combining de-epithelialization with wedge resection.
In this retrospective study, we included patients seen between September 2011 and April 2014 with hypertrophic labia minora. The surgical technique consisted in an integrated approach of de-epithelialization and wedge excision. Patients were examined for early and late postoperative complications. Furthermore, patient satisfaction was evaluated at the final follow-up.
A total of 17 labioplasties (Franco type II-IV) in 10 patients with a mean age of 29 ± 12 years (range 20-62 y) were performed. Three patients experienced wound-healing problems, requiring surgical revision. After a median follow-up of 39 ± 6 months (range 28-48 mo), a high overall patient satisfaction has been achieved (8.6 ± 1.1). No dyspareunia, hypertrophic scarring, or micturition problems have been reported.
By using our integrated approach, hereby called the "butterfly technique," the neurovascular supply remains preserved, and an efficient volume reduction can be achieved with a concealed scar. Nevertheless, suture techniques and suture materials have to be tested to reduce the incidence of wound dehiscence rate.
近年来，生殖器整形手术的需求有所增加。其中，小阴唇缩小术变得非常流行。有几种技术被描述，各有其优缺点。本研究的目的是介绍一种将去上皮化与楔形切除术相结合的新方法。
在这项回顾性研究中，我们纳入了2011年9月至2014年4月间因小阴唇肥大而就诊的患者。手术技术包括去上皮化和楔形切除的综合方法。对患者进行早期和晚期术后并发症检查。此外，在最终随访时评估患者满意度。
共对10例平均年龄为29±12岁（范围20 - 62岁）的患者进行了17例阴唇整形术（Franco II - IV型）。3例患者出现伤口愈合问题，需要手术修复。中位随访39±6个月（范围28 - 48个月）后，患者总体满意度较高（8.6±1.1）。未报告性交困难、肥厚性瘢痕或排尿问题。
通过使用我们的综合方法，即此处所称的“蝴蝶技术”，神经血管供应得以保留，且能通过隐蔽的瘢痕实现有效的体积缩小。然而，必须测试缝合技术和缝合材料以降低伤口裂开率。
