Vulvovaginal Surgery Hope Haefner, M.D. University of Michigan Health - - PDF document

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Vulvovaginal Surgery Hope Haefner, M.D. University of Michigan Health - - PDF document

Jan 16, 2024 380 likes •573 views

2/20/2015 Vulvovaginal Surgery Hope Haefner, M.D. University of Michigan Health System February 21, 2015 Vertical Mattress Courtesy Dr. E.J. Mayeaux, Jr. 1 2/20/2015 Halving Principle Courtesy Dr. E.J. Mayeaux, Jr. Courtesy Dr. E.J. Mayeaux,

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SLIDE 1

2/20/2015 1

Vulvovaginal Surgery

Hope Haefner, M.D. University of Michigan Health System February 21, 2015

Vertical Mattress

Courtesy Dr. E.J. Mayeaux, Jr.

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SLIDE 2

2/20/2015 2

Halving Principle

Courtesy Dr. E.J. Mayeaux, Jr.

Courtesy Dr. E.J. Mayeaux, Jr.

Dog-ear Revision

Burrow’s triangle

  • Triangle of

excess tissue excised

  • Cut a line at

about a 90 to 135o angle

Courtesy Dr. E.J. Mayeaux, Jr.

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SLIDE 3

2/20/2015 3

Dog-ear Revision

  • Place a

corner suture Hockey stick”

Courtesy Dr. E.J. Mayeaux, Jr.

Corner Suture

  • Started

Opposite side wound edge from tip

  • Enter 5 to

8mm from corner00

Tip Exit Direction of Pull Entrance Dermis Fat

Courtesy Dr. E.J. Mayeaux, Jr.

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SLIDE 4

2/20/2015 4

Corner Suture

  • Enter the skin
  • nly to the level
  • f the dermis
  • Gently elevate

the tip

  • 5mm loop goes

through the dermis only of the flap tip

Courtesy Dr. E.J. Mayeaux

Courtesy Dr. E.J. Mayeaux, Jr

Corner Suture

  • Exit the skin

parallel to the entrance point along the line

  • f pull
  • Tie across

Courtesy Dr. E.J. Mayeaux, Jr.

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SLIDE 5

2/20/2015 5

Skene’s Duct Cyst Surgery Skene’s Duct Cyst Surgery Video

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SLIDE 6

2/20/2015 6

Full Thickness Skin Grafts Full Thickness Skin Grafts

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2/20/2015 7

4/2

Full Thickness Skin Graft Video

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2/20/2015 8

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2/20/2015 9

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SLIDE 10

2/20/2015 10

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2/20/2015 11

S plit Thickness S kin Grafts

  • One major procedure

– HSIL, VIN differentiated, Paget’s disease, Cancers

  • Two major procedures

– Hidradenitis suppurativa

Paget’s Disease

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SLIDE 12

2/20/2015 12

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SLIDE 13

2/20/2015 13

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SLIDE 14

2/20/2015 14

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SLIDE 15

2/20/2015 15

Split Thickness Skin Grafts

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2/20/2015 16

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2/20/2015 17

Video

4 Months Post Op Grafts

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2/20/2015 18

2 Years After Surgery

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SLIDE 19

2/20/2015 19

Summary

newyork.issvd.org Come to the ISSVD World Congress July 26-29, 2015 Come to the ISSVD Postgraduate Course July 30-31, 2015

Hope K. Haefner, MD Merck & Co

  • Advisory Board