A New Concept for Central Wedge Resection in Labiaplasty

Area of Science:

• Plastic Surgery
• Gynecological Surgery
• Wound Healing

Background:

• Labia minora hypertrophy presents aesthetic and functional challenges.
• Current central wedge resection techniques can lead to complications such as wound dehiscence and scar contracture.
• Improved surgical methods are needed to enhance outcomes for this condition.

Purpose of the Study:

• To introduce and evaluate a novel central wedge resection technique for labia minora hypertrophy.
• To compare the efficacy and complication rates of the new technique against the standard regular wedge resection.

Main Methods:

• A case-control study involving 119 patients with labia minora hypertrophy.
• Patients were randomized into two groups: new central wedge (NV) (n=57) and regular wedge (RV) (n=62).
• The NV technique involved creating inclined sections with nonparallel closure lines, differing from the RV method.

Main Results:

• No significant differences in age, labia minora width, or procedure time between groups.
• Visual analog scale (VAS) scores were significantly lower in the NV group (p < 0.05).
• The NV group reported fewer complications, with only two patients experiencing minor issues (lymphoedema, asymmetry), while the RV group had six patients with scarring, healing complications, and asymmetry.

Conclusions:

• The new central wedge resection technique is a simple and effective procedure for labia minora hypertrophy.
• This method successfully avoids common complications like wound dehiscence and scar contracture associated with the regular approach.
• The NV technique offers improved surgical results and patient satisfaction.