دورية أكاديمية
Lymphatic Pathways on Indocyanine Green Lymphography in Patients with Labia Minora Hypertrophy.
العنوان: | Lymphatic Pathways on Indocyanine Green Lymphography in Patients with Labia Minora Hypertrophy. |
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المؤلفون: | Yuan Y; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Li F; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Zhou Y; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Li S; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Cao Y; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Liu M; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Li Y; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College., Li Q; From the Gynecological Plastic Surgery Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College. |
المصدر: | Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Sep 01; Vol. 154 (3), pp. 665-671. Date of Electronic Publication: 2023 Aug 29. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 1306050 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-4242 (Electronic) Linking ISSN: 00321052 NLM ISO Abbreviation: Plast Reconstr Surg Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Original Publication: Baltimore : Williams & Wilkins, |
مواضيع طبية MeSH: | Indocyanine Green*/administration & dosage , Lymphography*/methods , Hypertrophy*/diagnostic imaging , Vulva*/surgery , Vulva*/diagnostic imaging , Vulva*/pathology , Lymphatic Vessels*/diagnostic imaging , Lymphatic Vessels*/surgery, Humans ; Female ; Adult ; Middle Aged ; Lymphedema/diagnostic imaging ; Lymphedema/surgery ; Young Adult ; Retrospective Studies ; Coloring Agents/administration & dosage ; Adolescent |
مستخلص: | Background: Labia minora hypertrophy (LH) is a growing aesthetic concern, yet its etiology and local lymphatic anatomy remain unclear. This study aimed to use indocyanine green (ICG) lymphography to investigate evidence of lymphedema in LH and clarify the anatomy of lymph vessels from the labia minora. Methods: Thirty-five patients with LH underwent preoperative ICG lymphography of their bilateral labia minora. The study reviewed demographic, ICG imaging, and measurement data to identify the characteristics of the superficial lymphatic anatomy in the labia minora. Results: The ICG lymphography findings revealed that 97.1% of the observed patterns were linear, and 2.9% were dermal backflow patterns. Further analysis of the linear patterns revealed the presence of 3 main superficial pathways originating from the labia minora and connecting to the labia majora and clitoral hood. These pathways were identified as the superior, median, and inferior channels. Based on the observed lymphatic mapping in the labia minora, 3 types were classified: type 1 (superior and inferior channels) accounted for 75.0% (51 sides), type 2 (median and inferior channels) accounted for 8.8% (6 sides), and type 3 (superior, median, and inferior channels) accounted for 16.2% (11 sides). Conclusions: The study demonstrates that ICG lymphography enables clear visualization of superficial lymph flow from the labia minora. It also suggests that lymphedema is not a common pathologic feature of LH. Understanding the lymphatic anatomy of the labia minora can provide valuable guidance for surgical interventions involving the female external genitalia. (Copyright © 2023 by the American Society of Plastic Surgeons.) |
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المشرفين على المادة: | IX6J1063HV (Indocyanine Green) 0 (Coloring Agents) |
تواريخ الأحداث: | Date Created: 20230830 Date Completed: 20240828 Latest Revision: 20240829 |
رمز التحديث: | 20240830 |
DOI: | 10.1097/PRS.0000000000011027 |
PMID: | 37647514 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1529-4242 |
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DOI: | 10.1097/PRS.0000000000011027 |