Outcomes, Techniques, and Risk Factors for Dehiscence in Central Wedge Labiaplasty
| العنوان: | Outcomes, Techniques, and Risk Factors for Dehiscence in Central Wedge Labiaplasty |
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| المؤلفون: | Laurence T. Glickman, Haritha B Veeramachaneni, Michael Dobryansky, Noel B Natoli, Catherine J. Sinnott |
| المصدر: | Annals of Plastic Surgery. 85:S68-S75 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, medicine.medical_specialty, Adolescent, medicine.medical_treatment, 030230 surgery, Dehiscence, Clitoris, Vulva, Young Adult, 03 medical and health sciences, 0302 clinical medicine, Risk Factors, medicine, Humans, Surgery, Plastic, Retrospective Studies, Mons pubis, business.industry, Wound dehiscence, Labiaplasty, Middle Aged, Plastic Surgery Procedures, medicine.disease, Surgery, Clitoral hood, Plastic surgery, medicine.anatomical_structure, Labia minora, 030220 oncology & carcinogenesis, Liposuction, Female, business |
| الوصف: | Purpose Outcomes after female cosmetic genital surgery (FCGS) performed by plastic surgeons working in a group practice setting have not been well documented. This article aimed to assess outcomes and to describe FCGS techniques used in a large group private plastic surgery practice. Methods A retrospective chart review identified patients who underwent FCGS from 2009 to 2018. Demographic, clinical, and operative information was reviewed and recorded. Outcomes were assessed by evaluating postoperative complications and the need for revision surgery. Results Seventy-seven women between the ages of 14 and 53 years underwent FCGS performed by 1 of 6 surgeons. Forty-five patients underwent central wedge excision for labia minora hypertrophy, whereas 32 patients underwent extended central wedge excision for labia minora and clitoral hood hypertrophy. Four patients underwent liposuction of the mons pubis as an additional procedure. Over a mean follow-up of 37.4 months, postoperative asymmetry/redundancy occurred in 12 patients, requiring revision in 10. Wound dehiscence occurred in 12 patients, requiring revision in 9. There was one hematoma postoperatively requiring evacuation, one case of dyspareunia, and one case of decreased sensation. A single-layer wound closure (P = 0.050) and mons liposuction (P = 0.011) were risk factors for wound dehiscence. Conclusions Central wedge excision and extended central wedge excision labiaplasty were the techniques used in a large group plastic surgery practice. Postoperative asymmetry and dehiscence were the most common complications, and the revision surgery rate was high. A single-layer wound closure and additional mons liposuction were risk factors for dehiscence after central wedge labiaplasty. |
| تدمد: | 1536-3708 0148-7043 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::51f3a22705088e0197e8c90a871e1bd6 https://doi.org/10.1097/sap.0000000000002342 |
| رقم الأكسشن: | edsair.doi.dedup.....51f3a22705088e0197e8c90a871e1bd6 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15363708 01487043 |
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