Abstract

Objective: To evaluate the indications for labiaplasty with 30 watt, 980nm diode laser performed in the office in the period 2016-2017 and the results obtained in terms of postoperative pain scale, sexual satisfaction scale and associated complications. Methods: A retrospective, descriptive and analytical study of the results obtained from labiaplasties performed in the office by surgeons was carried out, with a sample of 23 patients, in the period between 2016 -2017 in Caracas, Venezuela. The Trim technique with a 30-Watt Laser Diode was used in a continuous mode with a 980 Nm fiber. The patients were classified according to reason for consultation, degree of hypertrophy according to González's classification and pain scale, index of sexual satisfaction and associated complications. Results: The age range prevailed in patients between 29 and 39 years, the reason why all the patients underwent surgery was primarily discomfort referred to as 'discomfort', one patient also referred functional disorders, specifically dyspareuria. 65.2% of the cases presented generalized hypertrophy, followed by central asymmetric in 34.7%. On the analogue scale of postoperative pain, only 8.6% reported pain II to III; there were no intraoperative complications and postoperative complications were absent in 82.6% of them, 8.6% presented labial dehiscence, 4.3% pruritus and 4.3% granuloma, all complications had secondary resolution and the post-procedure sexual satisfaction index 10 / 10 pts. 100%. Conclusion: after surgery the patients achieved symmetrical lips, with a good aesthetic appearance.

Abstract

Benign tumors of epithelial connective tissue located in the vulvar region have a very low incidence; the most frequent of these is fibroepithelial polyp, also known as acrochordon. The vulvar fibroepithelial polyp is extremely rare before menarche and after menopause, predominantly in obese and diabetic women. Descontrol hormone may facilitate its development as well as the high level of estrogen and progestogen during pregnancy. There are no reports regarding their relationship with human papillomavirus infections. They are histologically composed of fibrovascular stroma rich in collagen and fibrous tissue which sometimes has a mild chronic inflammatory reaction in the stroma. It is covered with keratinizing epithelium that can be thick with acanthosis, papillomatosis and hyperkeratosis. With the objective of reporting the benefits of diode laser in the treatment of benign tumors of epithelial tissue in the vulvar area and at the same time; To document the presence of this pathology and its ambulatory surgical approach comparing the aesthetic results of the excision with scalpel and laser diode, two cases are presented to which of acrochordon cutting off were performed, comparing surgical time, scarring, blood loss and better aesthetic gynecological outcome. Patients were followed up for 8 months without complications or recurrences. A better adhesion to the diode laser therapy was obtained, demonstrated in a fast recovery, null blood loss, effective healing and very favorable immediate cosmetic gynecological results.