title: [Postoperative complications of labia minora reduction. Comparative study between wedge and edge resection].
abstract: BACKGROUND
  Labia minora reduction interventions rise in Europe and in North America. Several techniques are described. The objective of this study was to compare postoperative complications of the two most practiced interventions: wedge resection and edge resection.
  
  
  METHODS
  Primary labia minora reductions realized in our unit between October 2009 and July 2016 have been retrospectively identified. Two techniques were used by two surgeons: edge resection technique and wedge resection technique. The main evaluation criterion was the occurrence and the quantity of wound dehiscence: superior to 50% (total or subtotal) and inferior to 50% (partial). Patients were systematically examined at 1 week, 1 month and 6 months postoperatively. Data analysis between both groups was made with an exact Fisher test.
  
  
  RESULTS
  Mean follow-up was 5.3 months after intervention. Sixty-four patients have been included, 42 wedge resections (group C) and 22 edge resections (group L). Global complication rate at 1 month was 13% (n=8). Among wedge resections 14% (n=6) developed complication and 2% (n=9) among edge resection. Seven surgical revisions were necessary: 5 for wound dehiscence (4 in the group C and 1 in the group L) and 2 for hematoma, one in each group. Three (5%) partial wound dehiscence (inferior to 50%) have been identified and let in secondary intention healing: 2 (19%) in the group C and 1 (27%) in the group L. Complication rates between both techniques were not significantly different.
  
  
  CONCLUSIONS
  Postoperative wound dehiscence is the main labia minora reduction complication. Our global complication rate, 13%, matches with the current literature. A tendency can be shown where wedge resection is more likely to develop wound dehiscence than edge resection.
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France. Electronic address: neil.ouar@free.fr.
authors.forename: N
authors.initials: N
authors.lastname: Ouar
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; UFR des sciences de santé, 7, boulevard Jeanne-d'Arc, 21000 Dijon, France; CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors.forename: D
authors.initials: D
authors.lastname: Guillier
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; UFR des sciences de santé, 7, boulevard Jeanne-d'Arc, 21000 Dijon, France; CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
authors.forename: V
authors.initials: V
authors.lastname: Moris
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Revol
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Francois
authors.affiliation: Service de chirurgie plastique reconstructrice et esthétique, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France; Université Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Cristofari
mesh_terms: D000328:Adult; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation; D012189:Retrospective Studies; D016896:Treatment Outcome; D014844:Vulva / Q000002:abnormalities / Q000601:surgery*; D055815:Young Adult
keywords: Edge resection; Labiaplasty; Labioplastie; Nymphoplastie; Nymphoplasty; Résection cunéiforme; Résection longitudinale; Vulvoplastie; Vulvoplasty; Wedge resection