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首页> 外文期刊>The journal of sexual medicine >Clitoral avulsion successfully repaired with 2-Octylcyanoacrylate
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Clitoral avulsion successfully repaired with 2-Octylcyanoacrylate

机译：氰基丙烯酸2-辛酯成功修复阴蒂撕脱

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Introduction: Clitoral piercing is becoming more popular in the general populace, playing an aesthetic as well as likely sexual role. However, potential for injury also impacts future clitoral sexual function, thus highlighting the importance of proper repair. Aim: To report a 29-year-old woman presented to the emergency department after a clitoral piercing injury. Examination revealed avulsion of most of the clitoral body. After the patient refused expectant and surgical management, reapproximation was performed using 2-octylcyanoacrylate. Methods: 2-Octylcyanoacrylate, commonly known as Dermabond? (Ethicon Inc., Somerville, NJ, USA), was used to reapproximate the clitoral laceration for this patient. It is a cyanoacrylate tissue adhesive, forming a strong bond between wound edges to allow for normal healing to occur below. Benefits of use are decreased time of repair, water-resistant flexible coating, and no need for suture removal. Results: The laceration was successfully reapproximated with 2-octylcyanoacrylate. The tissue held together satisfactorily and the patient was discharged to home. She was seen as an outpatient 3 days later, with a moderately tender and swollen clitoris, but with an intact repair and improved pain. A visit 8 weeks later showed a well-healed clitoris, and the patient reported resolution of pain and return of sexual function, with successful orgasms. Conclusions: The delicacy of clitoral anatomy and the potential impact of its injury on future sexual function make it an intimidating area of repair for the general physician. The method of repair must be tailored to the injury, patient, and physician; however, 2-octylcyanoacrylate is a viable alternative to traditional surgical or expectant management, offering strength and flexibility while avoiding further trauma with suture. Berger A and Worly B. Clitoral avulsion successfully repaired with 2-octylcyanoacrylate.
机译：简介：阴蒂穿刺术在普通民众中变得越来越流行，不仅起到审美作用，还可能起到性作用。然而，潜在的伤害也影响未来的阴蒂性功能，因此突出了正确修复的重要性。目的：报告一名在阴蒂穿刺伤后被送往急诊科的29岁妇女。检查发现大部分阴蒂体撕脱。在患者拒绝接受期待和手术治疗后，使用氰基丙烯酸2-辛酯进行了重新逼近。方法：氰基丙烯酸2-辛酯，俗称Derbobond？ （美国新泽西州萨默维尔市的Ethicon公司）被用于重新估计该患者的阴蒂撕裂。它是一种氰基丙烯酸酯组织粘合剂，在伤口边缘之间形成牢固的结合力，可以在下面进行正常的愈合。使用的好处是减少了维修时间，防水涂层并且无需拆线。结果：用2-辛基氰基丙烯酸酯成功地再次撕裂。组织令人满意地保持在一起，患者被送回家中。 3天后，她被视为门诊病人，中度压痛和阴蒂肿胀，但修复完好，疼痛得到改善。 8周后的一次随访显示阴蒂康复良好，患者报告疼痛得到缓解，性功能恢复，高潮成功。结论：阴蒂解剖学的精致及其损伤对未来性功能的潜在影响，使其成为普通医师修复的恐吓领域。修复方法必须针对伤害，患者和医生而定制;然而，2-辛基氰基丙烯酸酯是传统手术或预期治疗的可行替代方法，可提供强度和灵活性，同时避免缝合带来的进一步创伤。 Berger A和Worly B.用氰基丙烯酸2-辛酯成功修复了阴蒂撕脱。

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