Vulvar reconstruction following female genital mutilation/cutting (FGM/C) and other acquired deformities /
[Book]
Dan mon O'Dey.
Cham :
Springer,
[2019]
1 online resource (104 pages)
Includes bibliographical references.
Intro; Preface; Contents; 1: Introduction; 1.1 A General View; 1.2 Female Genital Mutilation/Cutting (FGM/C); 1.3 Personal Trip to Tanzania; 1.4 The European Community and FGM/C; 1.5 The Ritual of FGM/C and Its Side Effects; 1.5.1 Physical and Psychological Damage; 1.5.2 Psychological Damage Without Physical Correlate; 1.6 Other Acquired Deformities; 1.6.1 Nonneoplastic Disorders; 1.6.2 Neoplastic Disorders; 1.6.3 Inflammatory Diseases; 1.6.4 Functional Disorders; 1.7 Justifying Indication for Reconstruction in FGM/C Patients; 1.7.1 Importance of Reconstructive Surgery
1.7.2 Importance of Defibulation by Means of a Vulvar Opening Versus Vulvar Reconstruction in FGM/C Type III PatientsLiterature; 2: Basic Consideration; 2.1 Clinical Setting; 2.2 Patient Management; 2.3 Clinical Management; 2.4 Anatomy; 2.4.1 Region of the Clitoris; 2.4.2 Region of the Minor and Major Labias; 2.4.3 Region of the Genitofemoral Sulcus; 2.5 Pathology; Literature; 3: Procedures; 3.1 General Perspective; 3.1.1 Surgical Instruments; 3.1.2 Planning; 3.1.3 Anesthesia and Preparation; 3.1.4 Positioning; 3.1.5 Perforator Dissection; 3.2 Clitoral Reconstruction
3.2.1 General Perspective3.2.2 Reconstruction of the Prepuce Using the Omega-Domed Flap (OD Flap); 3.2.2.1 Importance of the Clitoral Prepuce and the OD Flap; 3.2.2.2 Operative Procedure of the OD Flap; 3.2.3 Reconstruction of the Clitoral Glans: The Neurotizing and Molding of the Clitoral Stump (NMCS) Procedure (Video 3.1); 3.3 Complex Vulvar Reconstruction Following FGM Type III (Infibulation); 3.3.1 General Perspective; 3.3.2 Vulvar Reconstruction with the Anterior Obturator Artery Perforator Flap (aOAP Flap); 3.3.2.1 General Perspective
3.3.2.2 The aOAP Flap Procedure (Video 3.2)3.3.2.3 Advanced Vulvar Reconstruction with the aOAP Flap: The Split-aOAP Flap Technique; 3.3.2.4 Full Vulvar Reconstruction After Vulvectomy (Video 3.3); 3.3.2.5 Reconstruction in FGM Type IV; 3.3.2.6 Algorithm for Complex Vulvar Reconstruction; 3.4 Adjunctives; 3.5 Postoperative Care; 3.5.1 Clitoral and Prepuce Reconstruction; 3.5.2 Complex Vulvar Reconstruction; 3.6 Management of Complications; 3.6.1 General Perspective; 3.6.2 Primary Complication; 3.6.2.1 Pain; 3.6.2.2 Swelling; 3.6.2.3 Hematoma; 3.6.2.4 Infection
3.6.2.5 Vascular Insufficiency and Tissue Loss3.6.2.6 Psychological Distress; 3.6.3 Secondary Complications; 3.6.3.1 Scarring; 3.6.3.2 Hair Growth of the Vestibule or Vaginal Introitus; 3.6.3.3 Folliculitis of the Vestibule or Vaginal Introitus; 3.7 Personal Perspective and Epilog; Literature
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This book describes essential operative techniques that can be used to anatomically reconstruct the outer female genital in acquired deformities derived from ritual genital mutilation/cutting, and diseases causing similar deforming defects. Following an introduction with general insights on the topic, the main chapters deal with basic considerations and special anatomical information. With the help of high-quality videos and images, the reader receives detailed instructions on clitoral and vulvar reconstruction with techniques invented by the author, named the NMCS-procedure, the OD-flap and the aOAP-flap procedures. The book is rounded out with chapters describing postoperative care and how to manage complications. The integrity of their outer genitals is important for patients' physical and psychological wellbeing. As such, the vulva is now receiving increasing attention and will likely continue to grow in importance in plastic surgery. The author, who has developed outstanding procedures for vulvar and clitoral reconstruction over the years, shares his considerable experience and hopes to highlight the importance of these methods to overcome the burden of female genital mutilation/cutting.
Springer Nature
com.springer.onix.9783030021689
Vulvar Reconstruction Following Female Genital Mutilation/Cutting (FGM/C) and Other Acquired Deformities.