Wang Shou-Jie, Xu Kai, Chen Xiao-Ling, Shi Bang-Hui, Wang Hui, Wu Li-Hong, Chen Chun-Ye
From the Department of Plastic Surgery, the Fourth Affiliated Hospital, Zhejiang University School of Medicine, Yiwu, Zhejiang Province, China.
Plast Reconstr Surg Glob Open. 2024 Mar 1;12(3):e5634. doi: 10.1097/GOX.0000000000005634. eCollection 2024 Mar.
The demand for genital plastic surgery has increased dramatically among female patients globally. Although various labia minora reduction procedures have been applied with different indications, advantages, and disadvantages, none has been universally accepted as the best method. So, we presented an innovative strategy for this increasingly demanded reconstructive procedure.
In this retrospective study, we included 29 patients seen between November 2020 and May 2023 with hypertrophic labia minora. The patients with hypertrophic labia minora after serrated-shaped resection were included for analysis. Patient satisfaction and complications were evaluated through the follow-up after the operation.
Patients with a mean age of 27.1 years (range 19-47 y) performed labia minora reduction via serrated-shaped resection. One patient experienced incision dehiscence, requiring additional surgical revision. One patient experienced postoperative cosmetic asymmetry and also performed secondary repair surgery. One patient experienced urinary retention, which was relieved after urinary catheterization. High overall patient satisfaction has been achieved after a median follow-up of 6.7 months (range 1-24 months). No flap necrosis, sexual dysfunction, or hypertrophic scarring has been reported.
Results suggested that serrated-shaped resection is a novel technique for repairing hypertrophic labia minora with high efficiency and satisfaction. The procedure could effectively improve the appearance of the labia minora and reduce complications.
全球女性患者对生殖器整形手术的需求急剧增加。尽管各种小阴唇缩小手术已被应用于不同的适应症、具有不同的优缺点，但尚无一种方法被普遍认为是最佳方法。因此，我们针对这种需求日益增加的重建手术提出了一种创新策略。
在这项回顾性研究中，我们纳入了2020年11月至2023年5月期间就诊的29例小阴唇肥大患者。纳入锯齿状切除术后小阴唇肥大的患者进行分析。通过术后随访评估患者满意度和并发症情况。
平均年龄27.1岁（范围19 - 47岁）的患者通过锯齿状切除术进行小阴唇缩小。1例患者出现切口裂开，需要额外的手术修复。1例患者术后出现美容不对称，也进行了二次修复手术。1例患者出现尿潴留，导尿后缓解。中位随访6.7个月（范围1 - 24个月）后，患者总体满意度较高。未报告皮瓣坏死、性功能障碍或瘢痕增生。
结果表明，锯齿状切除术是一种修复小阴唇肥大的新技术，具有高效性和满意度。该手术可有效改善小阴唇外观并减少并发症。
