Aesthetic Gynecological Surgeries in Children and Adolescents

Ye.V. Sibirskaya, I. Karachentsova, T. N. Ivanovskaya, I.A. Melenchuk, Y. Kirillova, A.S. Annakulieva, Ye.D. Nakhapetyan
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Abstract

Aesthetic gynecological operations in children and adolescents are aimed at eliminating congenital anomalies of the structure of the external genitalia, which usually occur as a result of a violation of the formation of sex. In addition, operations are often performed to achieve a cosmetic effect in conditions such as hypertrophy of the labia minora, clitoromegaly (not associated with genetic defects), atrophy and narrowing of the entrance to the vagina. At the moment, there is no consensus on at what age to perform aesthetic reconstructive surgery for abnormalities of the development of external genitalia in pediatric patients. At the same time, many techniques have been developed that are actively used in clinics around the world. The article considers the most practical and least traumatic, with a low percentage of complications, methods of plastic surgery in children and adolescents with congenital malformations and cosmetic defects of the external genitalia. A search for literature reviews, systematic reviews, meta-analyses and clinical studies on the topic of aesthetic gynecological operations in gynecology of children and adolescents was conducted in the PubMed and Embase. The search was carried out using combinations of MESH terms: feminizing genitoplasty, atypia of the external genitalia, pediatrics, disorders of sex formation, congenital hyperplasia of the adrenal cortex. The articles were analyzed, the full text of which was in the public domain, with a detailed description of the course and results of the operation, a description of clinical cases and studies in the field of pediatric and adolescent gynecology, mainly surgical treatment of congenital disorders of the reproductive system. As a result of a search in the PubMed, Embase databases with a diverse combination of keywords, 498 publications were found that were screened by name and abstract. 120 articles were selected for full-text analysis, 31 of them were selected for citation.
儿童和青少年妇科美容手术
儿童和青少年妇科美容手术的目的是消除外生殖器结构的先天性异常,这些异常通常是由于违反性别形成规律而造成的。此外,在小阴唇肥大、阴蒂肥大(与遗传缺陷无关)、阴道口萎缩和狭窄等情况下,通常也会进行手术以达到美容效果。目前,对于小儿外生殖器发育异常患者在什么年龄段进行美容整形手术还没有达成共识。与此同时,许多技术已被开发出来,并在世界各地的诊所积极使用。本文探讨了对患有先天性外生殖器畸形和外生殖器美容缺陷的儿童和青少年进行整形手术的最实用、创伤最小、并发症发生率低的方法。在 PubMed 和 Embase 中检索了有关儿童和青少年妇科美容手术的文献综述、系统综述、荟萃分析和临床研究。搜索时使用了 MESH 术语组合:女性化生殖整形术、外生殖器不典型、儿科、性别形成障碍、肾上腺皮质先天性增生症。对这些文章进行了分析,这些文章的全文都是公开的,其中详细描述了手术的过程和结果,介绍了临床病例以及儿科和青少年妇科领域的研究,主要是生殖系统先天性疾病的手术治疗。在 PubMed 和 Embase 数据库中以不同的关键词组合进行搜索后,发现有 498 篇出版物通过名称和摘要进行了筛选。其中 120 篇文章被选作全文分析,31 篇被选作引文。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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