Related Experiment Video
Updated: Jun 19, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Central wedge resection and asymmetric Z-plasty for minor labia reduction]
Zhi-Jian Hong1, Jun Wang, Si-Ming Yuan
1Department of Plastic Surgery, Nanjing General Hospital of PLA, Nanjing 210002, China. hongzj384@sohu.com
Objective:
To investigate the therapeutic effect of central wedge resection and asymmetric Z-plasty for minor labia reduction.
Methods:
Based on the Giraldo procedure, the incision was designed and the redudent tissue was resected quantitatively. The Z-plasty was modified to rectangle flap with deviated incision. The incisions at the two surface of minor labia were designed in an opposited direction. The two rectangle flaps were inserted to form the free edge of minor labia.
Results:
11 cases of minor labia hypertrophy were treated with good results.
Conclusions:
The modified procedure is easily performed with precise design. It is suitable for all kinds of minor labia hypertrophy.
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