labia minora adhesion dissection

The labia minora bonding clinic is often treated with genital malformations. It is usually seen in infants under 2 years of age. It can be congenital or can cause adhesions due to inflammatory irritation. The labia mucosa is normally developed, the anatomical appearance is clear, and the vaginal opening and the urethral opening are unobstructed. Adhesive vulvitis is a type of vulvovaginitis in young girls. Most common in girls 2 to 6 years old. Common pathogens include Staphylococcus, Streptococcus, Escherichia coli and Proteus, Trichomonas, fungi can cause infection, and a small number of infections by Chlamydia or Neisseria gonorrhoeae. It can be caused by unclean or direct contact with dirt, or by vaginal vaginal foreign body. Treatment of diseases: vulvitis Indication Labia minora adhesion Contraindications There is an acute infection in the vulva. In the case of redness, swelling or exudation, anti-inflammatory treatment should be performed first. After the acute inflammation has subsided, if the adhesion has not been loosened naturally, surgery can be considered. Preoperative preparation 1. Ask your medical history in detail. 2, carefully check the adhesion site and range, pay attention to the signs of acute infection, use the little finger for anal examination, pay attention to the presence or absence of vaginal foreign body. 3. Do urine analysis if necessary. 4. Prepare hemostatic powder and estrogen ointment (such as Premarin cream). Others are prepared before surgery for general vulvar surgery. Surgical procedure 1. The operator's thumb is placed on both sides of the labia at the adhesion site, and the tension is slowly applied to the outside. Gradually separate the adhesion by hand. A little oozing and mucosal damage can be seen on the edge of the labia after separation. It should be coated with hemostatic powder or estrogen ointment. Protect the wound. 2, severe adhesion, difficult to separate the hand, you can use small vascular clamp to insert from the gap of the proximal urethra, slightly open the forceps leaves, expand the adhesion of the midline, with a small knife along the adhesion line gently spread the adhesion, and then coated with hemostatic powder Or estrogen ointment.