Li Yilin, Zhou Yu, Cao Yujiao, Liu Meichen, Liu Lu, Li Fengyong
Urogenital Reconstructive and Gender-affirming Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33 Ba-Da Chu Road, Shi Jing Shan District, Beijing, 100144, People's Republic of China.
Aesthetic Plast Surg. 2025 Jun 23. doi: 10.1007/s00266-025-05025-1.
Most of the labiaplasty suturing methods do not involve the removal of subcutaneous tissue sutures, which are associated with suture-related adverse events. A novel labiaplasty suturing technique was presented to avoid suture-related adverse events and to improve surgery efficiency.
Between September 2019 and April 2021, labiaplasty for 68 patients were performed using this new suturing technique. All sutures were removed 7 days postoperatively and all patients were followed-up and evaluated three months postoperatively.
Overall, 127 labiaplasties were performed using the new suturing technique. The mean operation times were 42.2 ± 12.6 min (range: 30-60 min) for bilateral labiaplasty (59 cases) and 26.7 ± 8.3 min (20-40 min) for unilateral labiaplasty (nine cases). At the postoperative follow-up evaluations, the incisions had healed well without suture-related adverse effects, marginal scarring was inconspicuous, and no notches were detected at the edge of incision. Sixty-two patients (91.2%) had a score of ≥ 21 points on the female genital self-image scale. Five patients experienced some bleeding (mild bleeding in the early postoperative period, oozing blood from the incision, which can be stopped by applying local pressure) at the edge of incision within 72 h postoperatively, which improved after moderate compression treatment. One patient experienced unilateral, epithelial loss (approx. 3 mm, full thickness) of the labia minora five days postoperatively; this healed 20 days post-operatively. Three patients complained of mild pain (visual analogue scale score: 1-2) on suture removal.
We introduced a novel, safe, simple, and clinically feasible suturing technique for labiaplasty. This new method effectively helps to avoid suture-related adverse effects and obtain a well-shaped edge for the labia minora.
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大多数阴唇整形缝合方法不涉及皮下组织缝线的拆除，这与缝线相关的不良事件有关。提出了一种新的阴唇整形缝合技术，以避免缝线相关的不良事件并提高手术效率。
2019年9月至2021年4月期间，使用这种新的缝合技术对68例患者进行了阴唇整形手术。术后7天拆除所有缝线，所有患者在术后3个月进行随访和评估。
总体而言，使用新的缝合技术进行了127例阴唇整形手术。双侧阴唇整形术（59例）的平均手术时间为42.2±12.6分钟（范围：30 - 60分钟），单侧阴唇整形术（9例）的平均手术时间为26.7±8.3分钟（20 - 40分钟）。在术后随访评估中，切口愈合良好，无缝线相关不良反应，边缘瘢痕不明显，切口边缘未发现切迹。62例患者（91.2%）在女性生殖器自我形象量表上的得分≥21分。5例患者在术后72小时内切口边缘出现一些出血（术后早期轻度出血，切口渗血，局部加压可止血），经适度压迫治疗后有所改善。1例患者术后5天出现小阴唇单侧上皮缺损（约3mm，全层），术后20天愈合。3例患者在拆线时主诉轻度疼痛（视觉模拟评分：1 - 2）。
我们介绍了一种新颖、安全、简单且临床可行的阴唇整形缝合技术。这种新方法有效地有助于避免缝线相关的不良反应，并为小阴唇获得良好的形状边缘。
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