Dr Massimiliano BRAMBILLA
Cirujano Plástico
Otros autores: M Brambilla, V Boero, E Cetera, G Libutti, P Vercellini
Microfatgraft rigottomy long-term follow-up for female lichen sclerosus: an effective and reproducible procedure
Objectives: fat graft is gaining popularity for the treatment of vulvar lichen sclerosus thus no long term results has been published yet. the authors will present their results on log term microfatgraft rigottomy technique
Introduction: Liche sclerosus is an autoimmune disease determing tissue sclerosis and stenosis. the rational of the use of fat graft is to regenerate the tissues while the rational of percutaneous release is to divide the fibrotic tissue into multiple fibrotic bundles separated one from the other by fat clusters
Materials / method: 84 patients who underwent microfatgraft and percutaneous release with a mean follow up time of 5.4 years where studies with vulvoscopy, pre and post biopsies, psycological outcomes and life quality
Results: the results show an improving of tissue quality, quality of life and psychological outcomes on a long term follow up. No major complications was recorded as well as no cancer transformation of the vulvar tissue
Conclusion: the study demonstrate the efficacy and safety of microfatgraft percutaneous release in long term follow up
