Şahin Eda Adeviye, Ağlamış Özgür, Şahin Hanifi, Şahin Elif Ozan, Ergani Seval Yılmaz
Departmant of Obstetric and Gynecology, Private Clinic, İstanbul, Turkey.
Departmant of Obstetric and Gynecology, İstanbul Health and Technology University, İstanbul, Turkey.
Aesthetic Plast Surg. 2025 Apr;49(7):2104-2110. doi: 10.1007/s00266-024-04566-1. Epub 2024 Dec 4.
The demand for labia minora reduction surgery has increased due to aesthetic preferences and discomfort caused by labial hypertrophy. This study aims to share experiences with labial reconstruction using clitoral hood flaps in patients who underwent aggressive trim labiaplasty.
Twenty-eight patients who had previously undergone only labiaplasty surgery were included in this study. Surgical techniques focused on preserving blood supply and achieving symmetry. Postoperative care included hospitalization, wound care training, and regular follow-up visits. Complications were monitored and managed as needed.
All 28 patients, comprising 23 bilateral and 5 unilateral labiaplasty cases, underwent revision surgery using 49 clitoral hood flaps. Complications occurred in 6 cases, including suture dehiscence, flap necrosis, and infection, all of which were effectively managed. All flaps maintained their viability, and high patient satisfaction was reported.
Clitoral hood flap reconstruction following aggressive trim labiaplasty is a viable technique with minimal complications and high patient satisfaction. Further multicenter, long-term studies are necessary to validate these findings and improve surgical outcomes.
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由于审美偏好以及阴唇肥大引起的不适，小阴唇缩小手术的需求有所增加。本研究旨在分享在接受激进修剪阴唇成形术的患者中使用阴蒂包皮瓣进行阴唇重建的经验。
本研究纳入了28例之前仅接受过阴唇成形术的患者。手术技术侧重于保留血供并实现对称。术后护理包括住院、伤口护理培训和定期随访。根据需要监测和处理并发症。
28例患者，包括23例双侧和5例单侧阴唇成形术病例，使用49个阴蒂包皮瓣进行了修复手术。6例出现并发症，包括缝线裂开、皮瓣坏死和感染，所有这些均得到有效处理。所有皮瓣均保持存活，患者满意度较高。
激进修剪阴唇成形术后的阴蒂包皮瓣重建是一种可行的技术，并发症最少，患者满意度高。需要进一步开展多中心、长期研究以验证这些发现并改善手术效果。
证据级别III：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南www.springer.com/00266 。
