CHANG Guojing, XIA Zenan, ZHANG Xinran, KANG Yuanbo, ZHANG Hailin, LONG Xiao, ZHU Lin. Postoperative Complications of Minimally Invasive Vaginal Contraction: A Report of Six Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1468-1474. DOI: 10.12290/xhyxzz.2024-0616
Citation: CHANG Guojing, XIA Zenan, ZHANG Xinran, KANG Yuanbo, ZHANG Hailin, LONG Xiao, ZHU Lin. Postoperative Complications of Minimally Invasive Vaginal Contraction: A Report of Six Cases[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1468-1474. DOI: 10.12290/xhyxzz.2024-0616

Postoperative Complications of Minimally Invasive Vaginal Contraction: A Report of Six Cases

Funds: 

National High Level Hospital Clinical Research Funding 2022-PUMCH-B-040

More Information
  • Corresponding author:

    ZHU Lin, E-mail: pumchzhulin@126.com

  • Received Date: August 08, 2024
  • Accepted Date: October 30, 2024
  • Publish Date: November 21, 2024
  • Issue Publish Date: November 29, 2024
  • In recent years, the number of patients with vaginal relaxation has increased year by year, and the minimally invasive vaginal contraction has been carried out more and more widely in clinical practice, but the treatment normalization and safety have not been thoroughly studied. We summarized six cases of characteristics and treatment measures for patients with various complications after minimally invasive vaginal contraction surgery from September 2021 to December 2023 at Department of Plastic and Aesthetic Surgery, Peking Union Medical College Hospital. The patients' age ranged from 26 to 44 years. Two cases accepted vaginal contraction with embedded vaginal thread, and four accepted vaginal contraction with acellular allogenic dermis. One patient showed vaginal hyper-tightness, one patient showed subcutaneous suture nodules, two patients showed explosion of acellular allogenic dermis, and three patients showed vaginal infection symptoms such as yellow leucorrhea and peculiar smell. All patients had sexual pain and discomfort. One patient underwent vaginal orifice dilation, one patient underwent suture extraction and secondary vaginal contraction, one patient underwent acellular allogenic dermis extraction and immediate vaginal contraction, two patients underwent acellular allogenic dermis extraction and secondary vaginal contraction, and one patient underwent secondary vaginal contraction. The symptoms of all six patients were relieved after treatment. Despite the short operation time and fast postoperative recovery of minimally invasive vaginal contraction, there are still complications after surgery, causing physical and mental damage to patients. Plastic surgeons, therefore, should be cautious in the treatment process to avoid collateral damage, so that patients get the best treatment effect.

  • [1]
    Pauls R N, Fellner A N, Davila G W. Vaginal laxity: a poorly understood quality of life problem; a survey of physician members of the International Urogynecological Association (IUGA)[J]. Int Urogynecol J, 2012, 23(10): 1435-1448. DOI: 10.1007/s00192-012-1757-4
    [2]
    Austin R E, Lista F, Vastis P G, et al. Posterior vagino-plasty with perineoplasty: a Canadian experience with vaginal tightening surgery[J]. Aesthet Surg J Open Forum, 2019, 1(4): ojz030. DOI: 10.1093/asjof/ojz030
    [3]
    徐寿英. 阴道紧缩整形术68例体会[J]. 中华整形外科杂志, 1995, 11(6): 424. DOI: 10.3760/j.issn:1009-4598.1995.06.003

    Xu S Y. Experience of 68 cases of vaginal tightening plastic surgery[J]. Chin J Plast Surg, 1995, 11(6): 424. DOI: 10.3760/j.issn:1009-4598.1995.06.003
    [4]
    戚可名, 郝允荣, 康卓, 等. 不损伤粘膜的阴道紧缩术[J]. 中华整形外科杂志, 1997, 13(2): 148 DOI: 10.3760/j.issn:1009-4598.1997.02.027

    Qi K M, Hao Y R, Kang Z, et al. Vaginal tightening surgery without damaging the mucosa[J]. Chin J Plast Surg, 1997, 13(2): 148. DOI: 10.3760/j.issn:1009-4598.1997.02.027
    [5]
    Pardo J S, Solà V D, Ricci P A, et al. Colpoperineoplasty in women with a sensation of a wide vagina[J]. Acta Obstet Gynecol Scand, 2006, 85(9): 1125-1127. DOI: 10.1080/00016340600622544
    [6]
    陆新, 赵启明, 盛玉才. 阴道内埋线行阴道紧缩术[J]. 中国美容医学, 2000, 9(1): 38-39. DOI: 10.3969/j.issn.1008-6455.2000.01.019

    Lu X, Zhao Q M, Sheng Y C. Vaginal thread embedding for vaginal tightening surgery[J]. Chin J Aesthet Med, 2000, 9(1): 38-39. DOI: 10.3969/j.issn.1008-6455.2000.01.019
    [7]
    Park T H, Park H J, Whang K W. Functional vaginal rejuvenation with elastic silicone threads: a 4-year experience with 180 patients[J]. J Plast Surg Hand Surg, 2015, 49(1): 36-39. DOI: 10.3109/2000656X.2014.944187
    [8]
    Park T H, Whang K W. Vaginal rejuvenation with Gore-Mycromesh[J]. Aesthetic Plast Surg, 2015, 39(4): 491-494. DOI: 10.1007/s00266-015-0502-z
    [9]
    Li Y Z, Dong R J, Huang J Z, et al. Vaginal rejuvenation with acellular dermal matrix[J]. Clin Plast Surg, 2023, 50(1): 181-187. DOI: 10.1016/j.cps.2022.07.007
    [10]
    Mitsuyuki M, Štok U, Hreljac I, et al. Treating vaginal laxity using nonablative Er: YAG laser: a retrospective case series of patients from 2.5 years of clinical practice[J]. Sex Med, 2020, 8(2): 265-273. DOI: 10.1016/j.esxm.2020.01.001
    [11]
    Setyaningrum T, Tjokroprawiro B A, Listiawan M Y, et al. Treating vaginal relaxation syndrome using erbium: yttrium aluminum garnet fractional laser: a retrospective study[J]. Gynecol Minim Invasive Ther, 2022, 11(1): 23-27. DOI: 10.4103/GMIT.GMIT_141_20
    [12]
    Gao L, Wen W, Wang Y L, et al. Fractional carbon dioxide laser improves vaginal laxity via remodeling of vaginal tissues in Asian women[J]. J Clin Med, 2022, 11(17): 5201. DOI: 10.3390/jcm11175201
    [13]
    Rosner-Tenerowicz A, Zimmer-Stelmach A, Zimmer M. The CO2 ablative laser treatment in perimenopausal patients with vulvovaginal atrophy[J]. Ginekol Pol, 2022, 93(5): 374-380.
    [14]
    Millheiser L S, Pauls R N, Herbst S J, et al. Radiofre-quency treatment of vaginal laxity after vaginal delivery: nonsurgical vaginal tightening[J]. J Sex Med, 2010, 7(9): 3088-3095. DOI: 10.1111/j.1743-6109.2010.01910.x
    [15]
    Krychman M, Rowan C G, Allan B B, et al. Effect of single-treatment, surface-cooled radiofrequency therapy on vaginal laxity and female sexual function: the VIVEVE I randomized controlled trial[J]. J Sex Med, 2017, 14(2): 215-225. DOI: 10.1016/j.jsxm.2016.11.322
    [16]
    Kolodchenko Y. Nonablative, noncoagulative multipolar radiofrequency and pulsed electromagnetic field treatment improves vaginal laxity and sexual function[J]. Womens Health Rep (New Rochelle), 2021, 2(1): 285-294.
    [17]
    Aguilar P, Hersant B, SidAhmed-Mezi M, et al. Novel technique of vulvo-vaginal rejuvenation by lipofilling and injection of combined platelet-rich-plasma and hyaluronic acid: a case-report[J]. Springerplus, 2016, 5(1): 1184. DOI: 10.1186/s40064-016-2840-y
    [18]
    Chamata E S, Bartlett E L, Weir D, et al. Platelet-rich plasma: evolving role in plastic surgery[J]. Plast Reconstr Surg, 2021, 147(1): 219-230. DOI: 10.1097/PRS.0000000000007509
    [19]
    Placik O J, Devgan L L. Female genital and vaginal plastic surgery: an overview[J]. Plast Reconstr Surg, 2019, 144(2): 284e-297e. DOI: 10.1097/PRS.0000000000005883
    [20]
    Aesthetic plastic surgery national databank statistics 2022[J]. Aesthet Surg J, 2023, 43(Suppl 2): 1-19.
    [21]
    Kim S M, Won Y S, Kim S K. Gold thread implantation for female sexual dysfunction and vaginal laxity: a preliminary investigation[J]. J Menopausal Med, 2020, 26(2): 130-134. DOI: 10.6118/jmm.19024
    [22]
    高侠, 林金德, 卓然, 等. 双菱形缝线法阴道紧缩术[J]. 中国美容整形外科杂志, 2020, 31(3): 137-138.

    Gao X, Lin J D, Zhuo R, et al. Vaginal tightening surgery by bilateral rhombus-loop suture method[J]. Chin J Aesthet Plast Surg, 2020, 31(3): 137-138.
    [23]
    祝葆华, 张宗学. 万向导引针辅助双环法埋线阴道紧缩术[J]. 中国医疗美容, 2019, 9(2): 19-23.

    Zhu B H, Zhang Z X. Vaginal rejuvenation operated by thread embedded in double-loop design with multiple directions needle[J]. China Med Cosmet, 2019, 9(2): 19-23.
    [24]
    Li Y Z, Xia Z N, Bai M, et al. New method for genital aesthetic surgery: an easy-to-learn 2-step approach with acellular dermal matrix[J]. Aesthet Surg J, 2022, 42(9): 1045-1052. DOI: 10.1093/asj/sjac071
    [25]
    Yang F, Liu Y, Xiao H, et al. A novel technique combining human acellular dermal matrix (HADM) and enriched platelet therapy (EPT) for the treatment of vaginal laxity: a single-arm, observational study[J]. Aesthetic Plast Surg, 2022, 46(4): 1884-1892. DOI: 10.1007/s00266-022-02805-x
    [26]
    Juhász M L W, Korta D Z, Mesinkovska N A. Vaginal rejuvenation: a retrospective review of lasers and radiofrequency devices[J]. Dermatol Surg, 2021, 47(4): 489-494. DOI: 10.1097/DSS.0000000000002845
    [27]
    Kwon T R, Kim J H, Seok J, et al. Fractional CO2 laser treatment for vaginal laxity: a preclinical study[J]. Lasers Surg Med, 2018, 50(9): 940-947. DOI: 10.1002/lsm.22940
    [28]
    Lauterbach R, Gutzeit O, Matanes E, et al. Vaginal fractional carbon dioxide laser treatment and changes in vaginal biomechanical parameters[J]. Lasers Surg Med, 2021, 53(9): 1146-1151. DOI: 10.1002/lsm.23405
    [29]
    Al-Badr A, Alkhamis W H. Laser vaginal tightening complications: report of three cases[J]. Lasers Surg Med, 2019, 51(9): 757-759. DOI: 10.1002/lsm.23110
    [30]
    Wang H C, Long X. Filler-induced non-thrombotic pulmon-ary embolism after genital aesthetic injection[J]. J Cosmet Laser Ther, 2022, 24(6/8): 66-72.
    [31]
    Kong J W, Yang T F, Yang X A, et al. Death from pulmonary embolism caused by vaginal injection of hyaluronic acid: a case report and a literature review[J]. Aesthetic Plast Surg, 2023, 47(4): 1535-1541. DOI: 10.1007/s00266-023-03265-7
  • Related Articles

    [1]KONG Feile, GU Xiaoyang. Lee Tao's Experience at PUMC and the Advent of the Syllabus of the History of Medicine[J]. Medical Journal of Peking Union Medical College Hospital. DOI: 10.12290/xhyxzz.2024-1021
    [2]HUANG Bochuan. Is Dying of Cancer the Best Way to Die?[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1480-1484. DOI: 10.12290/xhyxzz.2024-0129
    [3]WANG Bin, LYU Wei, GAO Zhiqiang, YANG Hua, CAO Keli, FENG Guodong, WU Haiyan, SHANG Yingying, CHEN Xingming, WANG Jian, TIAN Xu, WANG Weiqing. Effect of Portable Oto-endoscopy System in Clinical Teaching of Otorhinolaryngology[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(6): 1475-1479. DOI: 10.12290/xhyxzz.2024-0206
    [4]ZHANG Di, BI Kejia, XU Shiting. Ethical Issues in Palliative Care[J]. Medical Journal of Peking Union Medical College Hospital, 2024, 15(1): 24-31. DOI: 10.12290/xhyxzz.2023-0578
    [5]ZHANG Di, NING Xiaohong. Ethical Arguments for Withdrawing Life-sustaining Medical Intervention[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(5): 1116-1122. DOI: 10.12290/xhyxzz.2022-0332
    [6]HUANG Mingtao, LIU Yongxiao, MO Nan. Clinical Ethical Analysis of Informed Consent to Anesthesia in Patients with Mental Disorders[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(2): 437-441. DOI: 10.12290/xhyxzz.2022-0196
    [7]LI Ji, YOU Wen, LIU Shuang, RUAN Ge-chong, XU Tian-ming, ZHANG Run-feng, ZHANG Xin-qing, QIAN Jia-ming. Clarify and Resolve Ethical Issues in the Teaching of Clinical Practice Based on the Four-topics Theory——An Example of Patients' Refusal to the Practice of Medical Students[J]. Medical Journal of Peking Union Medical College Hospital, 2021, 12(2): 282-286. DOI: 10.12290/xhyxzz.20200135
    [8]Xia HONG. Shared Decision Making[J]. Medical Journal of Peking Union Medical College Hospital, 2018, 9(3): 277-280. DOI: 10.3969/j.issn.1674-9081.2018.03.016
    [9]Xiao-qing LI, Gang LIU, Hui-jun SHU, Dong WU, Guang-jun NIE, Jia-ming QIAN. Clinical and Genetic Characteristics of 36 Patients with Acute Intermittent Porphyria[J]. Medical Journal of Peking Union Medical College Hospital, 2015, 6(2): 110-114. DOI: 10.3969/j.issn.1674-9081.2015.02.007
  • Cited by

    Periodical cited type(7)

    1. 杨利伟. 同意原则的伦理向度:从生命伦理到多元实践. 道德与文明. 2025(01): 145-156 .
    2. 夏振兰,刘俊荣,刘泽炫,陈丽萍. 慢性伤口处理中的临床伦理困境探析——以1例产后脂肪液化合并线结反应的慢性伤口患者护理为例. 中国医学伦理学. 2024(02): 194-198 .
    3. 朱敏,陈昌林,李明. 老年患者麻醉知情同意的临床伦理分析. 中国当代医药. 2024(14): 124-128 .
    4. 王茜,夏曼. 知情同意权的伦理应用困境与对策. 江苏卫生事业管理. 2024(11): 1559-1562 .
    5. 陶应时,陈巧,刘红玉. 治疗型脑机接口的知情同意问题及其应对. 南华大学学报(社会科学版). 2023(01): 62-68 .
    6. 夏振兰,陈丽萍,杨林玲,廖绮霞,刘俊荣. 一例慢性伤口不愈合患者拒绝住院治疗的伦理剖析. 中国医学伦理学. 2022(09): 1012-1016 .
    7. 张曼. 脑隐私法律概念建构:路径、特性与贡献. 东方法学. 2022(05): 60-73 .

    Other cited types(4)

Catalog

    Article Metrics

    Article views (163) PDF downloads (45) Cited by(11)
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return
    x Close Forever Close