RU2400172C1 - Method for surgical correction of labia minora and related device for implementation thereof - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to aesthetic surgery and can be applied in surgical correction of labia minora. The method for surgical correction of labia minora implies that the enlarged labia minora are exposed to pulse laser light of power 5-10 Wt, light spot diametre 0.5-0.7 mm, pulse duration 0.3-0.5 s, pulse separation 0.05-0.07 s. After the laser light exposure, edges of the labia minora are cut off with a laser beam. A device for surgical correction of labia minora comprises a handle and working ends. The working ends are curved orthogonally and sagged 3-4°. And one working end has a longitudinal slot of width 0.3-0.35 of a branch and length 80-90% of the branch length.

EFFECT: inventions allow reducing intraoperative traumatism and ensuring better aesthetic effect.

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Description

The invention relates to medicine, namely to aesthetic surgery, and can be used for surgical correction of the labia minora.

A known method of correction of the labia majora by introducing a gel (liquid implant) (1 - www.km.ru/magazin/view.asp?id=D1016C6A5D974). This method is taken as an analog.

There is a method of correction of the labia majora, carried out using liposuction, through two incisions in the pubic region with a length of 4 mm each. This operation allows you to reduce the volume of the labia majora (2 - www.km.ru/magazin/view.asp?id=D1016C6A5D974). This method is adopted as a prototype. However, this method is traumatic and cannot be used in patients prone to keloid formation.

Known surgical gynecological instrument containing a tape, with each end of which is connected to a curved needle-shaped element of the instrument. The elements are configured to connect one at a time with a handle having a handle to form an end curved portion (RF patent 21161916, 1996). This device is taken as an analog.

Known surgical instrument, which contains a conductor with a curved working end, a removable handle and a mesh implant, which is enclosed in a removable protective sheath (3 - RF patent No. 2304935, 2005). This tool is taken as a prototype.

However, the prototype tool is traumatic and cannot be used for plastic labia minora.

The aim of the invention is to reduce the morbidity while increasing aesthetic efficiency.

The technical result according to the method is achieved in that they effect the enlarged labia minora using a pulsed laser study with a power of 5-10 W with a light spot diameter of 0.5-0.7 mm, a pulse duration of 0.3-0.5 s, a duration of pauses between pulses of 0.05-0.07 s, after which the edges of the labia minora are cut off with a laser beam.

The technical result of the device is achieved by the fact that the surgical instrument for correction of the labia minora is made as a clamp having jaws bent at a right angle and deflected at 3-4 °, one of which is provided with a longitudinal slit 0.3-0.35 jaw wide and 80-90% of the jaw length.

The proposed method and device was developed by R.A. Ashrafov.

The device (figure 1) is a clamp, the working ends of which (1) are bent at right angles and modeled with a deflection of 3-4 °; one branch is provided with a longitudinal slit (2) with a width of 0.1-0.15 branches and a length of 80-90% of the length of the branch. The working ends have handles (3) connected by a hinge (4).

The device works, and the method is as follows.

The patient is in the gynecological chair. 2% lidocaine ointment is applied to the labia minora. Local anesthesia is performed with lidocaine 0.25% - 2.0 ml. The labia minora is captured by the working ends 1 of the device and laser action is performed with a power of 5-10 W with a light spot diameter of 0.5-0.7 mm, a pulse duration of 0.3-0.5 s, a pause duration between pulses of 0.05-0, 07 sec

After laser exposure, the edge of the labia minora is cut off with a laser beam without bleeding. The edge of the wound treated with a laser beam does not require suturing. A bandage is applied to it.

The second labia minora is treated in a similar fashion with a bandage applied.

After surgery, patients are in the clinic for 3 days. They may note a temporary loss of sensitivity in the field of surgical intervention, itching, swelling.

It is usually recommended that you take at least a week off at work, as the pain in patients is completely different. Depending on the individual sensitivity of the patient, light painkillers are selected for each person, starting from data on the severity of unpleasant sensations, the general state of health of the patient, his age.

During follow-up observation for 6-12 months, keloid scars in the area of laser exposure were not detected.

The method is further illustrated by examples of its implementation.

Example 1

Patient S., aged 21, was admitted with complaints of an unaesthetic enlargement of the labia minora. When viewed in a gynecological chair, the labia minora are enlarged, their edge is uneven, somewhat swollen. After carrying out the necessary studies (general, biochemical blood test; HIV, RW, hepatitis C and B, general and biochemical urine analysis, smear), the patient is prepared for surgery.

The surgical field is treated, local anesthesia with lidocaine 0.25% - 2.0 ml and treatment of the labia with lidocaine ointment 2%.

The working ends of the device, bent at right angles and repeating the contour of the labia minora, are applied to the labia minora and through the jaw with a 3 ° deflection, equipped with a slit of 0.3 jaw width and 80% of the jaw length, process the surgical field with a laser beam.

Laser exposure is carried out for 10 s with a power of 5 W with a diameter of a light spot of 0.5 mm, a pulse duration of 0.3 s, a pause duration between pulses of 0.05 s.

After laser exposure, the edge of the labia minora is cut off with a laser beam without bleeding. A bandage is applied to the edge of the wound treated with a laser.

The second labia minora is treated in a similar fashion with a bandage applied.

After the operation, the patient notes a temporary loss of sensitivity in the field of surgical intervention, itching, swelling. Accepts desensitizing (tavegil 1 tab 2 times) and painkillers. After the operation, the patient is in the clinic for 3 days.

After a follow-up examination, the patient was discharged in satisfactory condition. Follow-up follow-up for 3 months revealed good results of the operation.

Example 2

Patient N., 36 years old, was admitted with complaints of an unaesthetic increase in the labia minora, and a decrease in the size of the labia majora. When viewed in a gynecological chair, the labia minora are enlarged, their edge is uneven, sclerotic. A preoperative examination is carried out, including a general, biochemical, blood test; HIV, RW, hepatitis C and B, general, biochemical analysis of urine, smear.

In the gynecological chair, the surgical field is treated, local anesthesia with lidocaine 0.25% - 2.0 ml and the treatment of the labia with lidocaine ointment 2%.

The working ends of the device, bent at right angles and repeating the contour of the labia minora, are applied to the labia minora and through the jaw with a deflection of 3.5 °, equipped with a slit of 0.32% of the jaw size and 85% of the jaw length, process the surgical field with a laser.

Laser exposure is carried out for 15 s with a power of 10 W with a diameter of a light spot of 0.7 mm, a pulse duration of 0.5 s, a pause duration between pulses of 0.07 s.

After laser exposure, the edge of the labia minora is cut off with a laser beam without bleeding. A bandage is applied to the edge of the wound treated with a laser beam.

The second labia minora is treated in a similar fashion with a bandage applied.

After the operation, the patient notes a temporary loss of sensitivity in the field of surgical intervention, swelling. Accepts desensitizing (tavegil 1 table 2 times). After the operation, the patient is in the clinic for 3 days.

After a follow-up examination, the patient was discharged in satisfactory condition. Subsequent follow-up observation for 6 months revealed good results of the operation, the absence of keloid scars in all cases.

Example 3

A 27-year-old patient M. is worried about the deformation and enlargement of the labia minora. When examined in the gynecological chair, the labia minora are asymmetric, enlarged, protrude beyond the edge of the labia majora, the contour of the labia minora is uneven. Clinical studies are performed (general and biochemical blood tests; HIV, RW, hepatitis C and B, urinalysis and biochemical analysis, smear). Prepare the patient for surgery. 2% lidocaine ointment is applied to the labia minora. Local anesthesia is performed with lidocaine 0.25% - 2.0 ml.

The working ends of the device, bent at right angles and repeating the contour of the labia minora, are applied to the labia minora and through a jaw with a deflection of 4 °, equipped with a slit of 0.35% of the jaw size and a length of 90% of the jaw length, they process the surgical field with a laser.

A laser effect of 7 W with a diameter of a light spot of 0.6 mm, a pulse duration of 0.4 s, a pause duration between pulses of 0.06 s is carried out.

After laser exposure, the edge of the labia minora is cut off with a laser beam and a bandage is applied to it.

The second labia minora is treated in a similar fashion with a bandage applied.

After the operation, the patient is in the clinic for 4 days. There is a temporary loss of sensitivity in the field of surgical intervention.

During follow-up observation for 10 months, keloid scars in the area of laser exposure were not detected.

According to the proposed method using the claimed device, 23 operations were performed. Tests have confirmed the achievement of the purpose of the invention is to reduce the morbidity while increasing aesthetic efficiency.

Claims (2)

1. The method of surgical correction of the labia minora, characterized in that they effect the enlarged labia minora using pulsed laser radiation with a power of 5-10 W with a light spot diameter of 0.5-0.7 mm, pulse duration of 0.3-0 , 5 s, the duration of the pause between pulses 0.05-0.07 s, after which the edges of the labia minora are cut off with a laser beam. 2. Device for surgical correction of the labia minora, including a handle and working ends made bent at a right angle and with a deflection of 3-4 °, with one working end provided with a longitudinal slit 0.3-0.35 in width and 80- in length 90% of the jaw length.