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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2018; 78(08): 775-784
DOI: 10.1055/a-0647-2404
GebFra Science
Original Article
Georg Thieme Verlag KG Stuttgart · New York

A Novel Technique for Mapping the Vascularity of Labia Minora Prior to Labiaplasty: Cold Light Illumination

Neuartiges Verfahren zur Darstellung der Vaskularität der inneren Schamlippen vor der Labioplastik: Einsatz von Kaltlichtbeleuchtung
Aski Ellibes Kaya
1   Department of Obstetrics and Gynecology, Duzce University Hospital, Duzce, Turkey
,
Ozan Dogan
2   Department of Obstetrics and Gynecology, Health Sciences University, Sisli Hamidiye Etfal Research and Training Hospital, Istanbul, Turkey
,
Murat Yassa
3   Department of Obstetrics and Gynecology, Health Sciences University, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey
,
Alper Basbug
1   Department of Obstetrics and Gynecology, Duzce University Hospital, Duzce, Turkey
,
Eray Çalışkan
4   Department of Obstetrics and Gynecology, Bahçeşehir University School of Medicine, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

received 31 March 2018
revised 16 May 2018

accepted 21 June 2018

Publication Date:
20 August 2018 (online)

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Abstract

Objective Aim of the study was to assess the feasibility of a novel technique to determine the vascularity of labia minora prior to labiaplasty.

Methods A cold light source employed in laparoscopic procedures was used to illuminate the outer surface of the labia minora as described in this prospective descriptive study.

Results Of the patients, 46.1% (n = 41) had upper third prominence, 36% (n = 32) had middle third prominence, and 18% (n = 16) had lower third prominence according to the Banwell classification of morphologies. Right labia minora width was 0 – 2 cm in 51.7% (n = 46), 2 – 4 cm in 47.2% (n = 42) and > 4 cm in 1.1% (n = 1) of cases. Left labia minora width was 0 – 2 cm in 52.8% (n = 47), 2 – 4 cm in 41.6% (n = 37) and > 4 cm in 5.6% (n = 5) of cases. The incidence of Anterior 2 and Posterior 1 vessels in the different morphologies were statistically significantly different (p = 0.007, p = 0.018). The Anterior 2 vessel was higher in the lower morphology group whereas the Posterior 1 vessel was higher in the upper morphology group. A central vessel was observed in 93.3% (n = 83) of patients in the left labium minus and the right labium minus. The incidence of the Posterior 1 vessel was significantly higher in the left labium minus than in the right labium minus (p = 0.021).

Discussion This novel technique to assess labial vascularity using a cold light source could be very useful to reduce dehiscence by avoiding excessive resection of highly vascularized tissue. Most units can easily access a cold light source, which can be used to assess labial vascularity prior to labiaplasty.

Zusammenfassung

Zielsetzung Ziel dieser Studie war es, die Durchführbarkeit einer neuartigen Technik zur Bestimmung der Vaskularität der inneren Schamlippen vor der Labioplastik zu evaluieren.

Methoden Die Kaltlichtbeleuchtungsquelle, die bei einer Laparoskopie eingesetzt wird, wurde zur Beleuchtung der äußeren Oberfläche der inneren Schamlippen verwendet, wie hier in dieser prospektiven Studie beschrieben.

Ergebnisse Nach der Banwell-Klassifikation der Schamlippenmorphologie hatten 46,1% (n = 41) der untersuchten Patientinnen eine Auswölbung im oberen Drittel, 36% (n = 32) eine Auswölbung im mittleren Drittel, und 18% (n = 16) eine Auswölbung im unteren Drittel. Die Breite der rechten inneren Schamlippe betrug 0 – 2 cm in 51,7% (n = 46), 2 – 4 cm in 47,2% (n = 42) und > 4 cm in 1,1% (n = 1) der Fälle. Die Breite der linken inneren Schamlippe betrug 0 – 2 cm in 52,8% (n = 47), 2 – 4 cm in 41,6% (n = 37) und > 4 cm in 5,6% (n = 5) der Fälle. Es gab einen statistisch signifikanten Unterschied in der Häufigkeit von Anterior-2- und Posterior-1-Gefäßen zwischen den verschiedenen Morphologien (p = 0,007; p = 0,018). Anterior-2-Gefäße traten häufiger in der Gruppe mit unterer Auswölbung auf, wohingegen Posterior-1-Gefäße öfters in der Gruppe mit oberer Auswölbung auftraten. Ein zentrales Gefäß wurde bei 93,3% (n = 83) der Patientinnen sowohl in der linken wie in der rechten inneren Schamlippe identifiziert. Ein Posterior-1-Gefäß wurde häufiger in der linken als in der rechten inneren Schamlippe entdeckt (p = 0.021).

Diskussion Dieses neuartige Verfahren zur Bestimmung der Vaskularität der inneren Schamlippen mithilfe einer Kaltlichtbeleuchtungsquelle könnte sehr nützlich bei der Reduzierung der Wunddehiszenz sein, weil sich damit eine exzessive Gewebsentfernung vermieden ließe. In den meisten Krankenhäusern ist eine Kaltlichtbeleuchtungsquelle vorhanden, die zur Darstellung der Vaskularität der inneren Schamlippen vor der Labioplastik benutzt werden kann.

Key words

labiaplasty - vascularity of labia minora - cold light illumination - labia minora - labia minora reduction

Schlüsselwörter

Labioplastik - Vaskularität der inneren Schamlippen - Kaltlichtbeleuchtung - innere Schamlippen - Verkleinerung der inneren Schamlippen
 

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