Re: Old labial tear

From: ainsron@msn.com
Wed Mar 14 04:50:15 2001


I've had the same experience as Paul and use the same technique. No problems or regrets yet. (Knock on wood!)

>
>>I've seen several labial lacs that were not repaired properly and
>women notice them! (sidenote: I will leave superficial scrapes alone,
>but any time the labial ridge has been disrupted, I repair it to
>prevent this from happening). I first learned this as a chief
>resident when I had 2 or 3 patients come in to have it fixed - I
>learned that many women spend a good deal of time "primping" their
>bottoms, and that this irregularity causes some negative body image
>issues.
>
>Is it elective, absolutely. Is there risk, sure. But IMO the patient
>should be able to decide whether she wants to accept the risk to
>satisfy her "labial vanity" just like she would for any other cosmetic
>procedure (deaths with liposuction, etc). OTOH, merely reassuring her
>that it is commonly seen after delivery may be enough for her to feel
>comfortable with it.
>
>The majority of mine have been majora repairs, but I think I did one
>minora. I have personally had very good luck just excising a rim
>around the margin and then putting interrupted vicryl sutures (4-0) on
>a taper needle. Very similar to a perineoplasty. In fact the first
>two I did as a resident I did in the stirrups under local in our
>outpatient clinic.
>
>Anyway, that's my opinion, which of course is worth what you paid for
>it :)
>
>--
>Paul Prior MD
>Coshocton, OH
>Solo Practice
>OB/GYN, FACOG
>

--
Ronald E. Ainsworth, MD




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