Five years experience in performing abdominoplasty and posterior colpoperineorrhapfy in one operative session

Multiparous women might complain of both protruded and pendulous abdomens and lax vaginal outlets affecting their sexual relationship with their spouses. This series included 47 patients presented with this combined complains. Each patient underwent major abdominoplasty and posterior colpoperineorrhaphy [or perineorrhaphy] in one operative session. This approach was safe as no serious complications were reported. Also it was very convenient for patients and their families as it save time and money

use of Z-plasty for reconstruction of short vagina after total hysterectomy

Total hysterectomy leads to vaginal shortening that might cause dyspareunia. This series included six patients with this complain. The classical Z-plasty technique was used in the way that the central limb of the Z-plasty was drawn on the longitudinal posterior column of the posterior vaginal wall starting 4 cm above the vaginal vestibule in upward direction. In addition to the gain in length, the Z-plasty tightened the upper part of vagina. This technique was safe as no complication was reported. And it was effective as no patient reported dyspareunia postoperatively

Modified method of reduction mammoplasty for gigantomastia

Gigantomastia can cause physical and/or psychological discomfort. The conventional surgical treatment is usually reduction mammoplasty using the amputation technique and free nipple-areola grafting. This series included three large sizes women with this complain. A modification of the traditional vertical bipedicle reduction mammoplasty was used to preserve nipple sensation and maintain the physiological breast function; and at the same time to resect the required amount of breast tissue. The postoperative breast size was larger than the standard cup size breast resulted in other conventional methods; therefore, this technique was convenient for the large body sizes women. No serious postoperative complication was reported