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Aylin Kurt KARANLIK İstanbul Serbest hekim. Literatürdeki teknik tipleri Pediküllü flap ile wedge eksizyon(Alter 1998- Rouzier tarafından 2000’de Munhoz.

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... konulu sunumlar: "Aylin Kurt KARANLIK İstanbul Serbest hekim. Literatürdeki teknik tipleri Pediküllü flap ile wedge eksizyon(Alter 1998- Rouzier tarafından 2000’de Munhoz."— Sunum transkripti:

1 Aylin Kurt KARANLIK İstanbul Serbest hekim

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

3 De-epitelizasyon tekniği (Choi ve Kim 2000) Sant ral 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 139 (%88,5) Difficulty wearing certain clothing 63 (%40,1) Pain with sexual activity 43 (%27,3) Chronic infection 14 (%8,9)

9 *Congenital 139 (%88,6) *Acquired anomalies 18 (%11,4 ) -Hormonal imbalance 2 -Chronic irritation 14 -Urinary incontinance 1 -Manual stretching 1

10 Type Labial width (cm) Our patient 1 < 2 1 (%0,6) (%1,9) (%77,2) 4 >6 32 (%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


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