[Surgical excision of giant congenital naevi: how far can we go with surgery?]. / Exérèse des nævus congénitaux géants : jusqu'où aller avec la chirurgie ?

Surgical excision of giant congenital nevi is recommended by principle for dermatological reasons. Malignant potential is real but its incidence remains widely discussed. Their excision represents a surgical challenge but is also a real assault course for the child and his family. The sequelae and the psychological effects can be important. Can an incomplete excision to limit these aesthetic after-effects and relieve the surgical treatment be acceptable? We present the case of a child affected by a giant congenital nevi of the cephalic extremity where the excision was partial. A review of the literature on the degenerative risk of the giant congenital nevi allowed us of noticed that this one tends to be overestimated. The advantages and the disadvantages to practise a preventive, premature excision and complete of the giant congenital nevi are approached. We discuss the possibility to resort to a partial excision in certain cases delicate of reconstruction under the cover of a strict and moved closer dermatological surveillance.

[Refinements in the labia minor reduction procedures]. / Mise au point sur les techniques de nymphoplastie de réduction.

AIM: The aim of this study is to appreciate the hypertrophy of labia minor, its psychological and functional effects and the different techniques of reduction available. PATIENTS AND METHODS: From August 2004 to June 2007, 14 patients have been operated with a posterior wedge resection technique associated with a Z plasty. A questionnaire has been sent to each patient in order to make a retrospective study of the different reasons of consultation and their degree of satisfaction after surgery. RESULTS: Among the 12 patients who answered the questionnaire, main part of them was satisfied or very satisfied of the morphologic and functional results. All of them were satisfied to have decided on this surgery. DISCUSSION: We can notice an increase of the requests concerning the vulvar morphologic changing, either due to aesthetics preoccupations or functional disorders. Technically, the wedge resection brings the most satisfactory results. The addition of a Z plasty and the posterior location of the scar should prevent dyspareunia and per-partum tears. CONCLUSION: This preliminary clinical study focuses on the different techniques, enables a better knowledge of these women expectations and confirms our technique.