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Bilateral Inferiorly Based Labia Majora Flaps: A Simple Technique for Post Episiotomy Dehiscence Coverage
Deepak Krishna1, Gaurav Chaturvedi1, Manal M Khan1
1Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Bhopal, India.
World Journal of Plastic Surgery
|January 25, 2023
Summary
Recurrent episiotomy dehiscence can be effectively managed using bilateral inferiorly based labia majora flaps. This surgical technique offers a successful reconstructive option for severe perineal wound complications.
Area of Science:
- Obstetrics and Gynecology
- Plastic and Reconstructive Surgery
Background:
- Episiotomy dehiscence, often due to infection, leads to significant physical, psychological, and social distress.
- Management strategies for episiotomy dehiscence vary based on injury severity.
Observation:
- A case report details a 26-year-old female with recurrent post-episiotomy perineal wound dehiscence extending to the anal opening.
- Previous resuturing attempts were unsuccessful, resulting in skin and subcutaneous tissue loss between the vaginal and anal openings.
Findings:
- The patient's extensive perineal defect was successfully reconstructed using bilateral inferiorly based labia majora flaps.
- This surgical approach resulted in a favorable outcome for the patient's recurrent wound dehiscence.
Implications:
- Inferiorly based labia majora flaps represent a viable and effective surgical option for covering recurrent perineal dehiscence with tissue loss.
- This technique can significantly improve patient outcomes and quality of life following complex obstetric wound complications.
