Aylin Kurt KARANLIK İstanbul Serbest hekim

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1 Aylin Kurt KARANLIK İstanbul Serbest hekim
Labiaplasty’de yeni bir yöntem: geliştirilmiş inferior wedge rezeksiyon Aylin Kurt KARANLIK İstanbul Serbest hekim

2 Literatürdeki teknik tipleri
Kenar eksizyon tekniği- trimming method (Caparo Felicio tarafından modifiye edilmiştir) Pediküllü flap ile wedge eksizyon(Alter Rouzier tarafından 2000’de Munhoz tarafından da 2006’da modifiye edilmiştir)

3 Santral eksizyon tekniği (Laub 2000)
De-epitelizasyon tekniği (Choi ve Kim 2000) Santral eksizyon tekniği (Laub 2000)

4 W-şekilli (Maas-Hage 2000)

5 Wedge excision with pedicle flap . (Munhoz 2006)
Central wedge nymphectomy with a 90 degree Z-plasty (Giraldo- Gonzales 2004)

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7 Patients From February 2009 t0 June 2011
Developed inferior wedge resection 157 patients Symmetrical hypertrophy (96%) patients Asymmetrical hypertrophy (4%) patients Postoperative complications Satisfaction results (by patient and surgeon)

8 Patient complaints Aesthetic concern 157 (%100)
Poor hygiene (%88,5) Difficulty wearing certain clothing (%40,1) Pain with sexual activity (%27,3) Chronic infection (%8,9)

9 Ethiology *Congenital 139 (%88,6) *Acquired anomalies 18 (%11,4 )
-Hormonal imbalance -Chronic irritation -Urinary incontinance -Manual stretching

10 Franco classification of labia minora hypertrophy
Type Labial width (cm) Our patient < (%0,6) (%1,9) (%77,2) > (%20.3) Total (100%)

11 Our technique

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27 Results Median age 29 years (ranged 18-54)
Hospital discharge = median 5 hours (3-20 h) Operative time = median 30 min (20-45 min)

28 Postoperative care 48 hours cold compression
Personal hygiene after urinating Maintaining vulva and wounds dry Topical application of iodine Nitrofurzone ointment (Furacin©) to suture line Oral antibiotic, simple analgesia

29 Complication No intraoperative complications
Postoperative complications Small dehiscence patient (healed spontaneously) Abscess patient (drainage)

30 Patient satistaction (overall)
Very satistied (91%) Satisfied (9%) Not satisfied

31 Conclusions Easy and effective method
Favourable aesthetic and functional outcomes Natural edge contour and color are preserved Minor complications

32 Thank you