Abstract：
BACKGROUND: Female genital mutilation (FGM) is a global public health concern. However, reconstructive surgery remains unavailable in many countries.
OBJECTIVE: This scoping review, guided by Joanna Briggs Institute (JBI) principles, explores indications, referral routes, eligibility, care pathways and clinical outcomes of reconstructive surgery for FGM.
METHODS: Medical Subject Headings (MeSH) terms and subject headings were searched in EMBASE, MEDLINE, SCOPUS, Web of Science and publicly available trial registers.
METHODS: Any primary experimental and quasi-experimental study addressing reconstructive surgery for FGM, and its impact on women, published before June 2023.
METHODS: After removing duplicates from the search results, titles and abstracts were screened and data were extracted. Disagreements were resolved through panel discussion. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagram depicts the search results and inclusion process.
RESULTS: A total of 40 studies were included. Multidisciplinary teams were involved in 40% (16/40) of the studies, and psychosexual counselling was offered in 37.5% (15/40) of studies. Clitoral reconstruction using Foldes\' technique was predominant (95%, 38/40). A total of 7274 women underwent some form of reconstruction. Post-surgery improvement was reported in 94% of the cases (6858/7274). The complication rate was 3% (207/7722 women with reconstruction).
CONCLUSIONS: Further research and clinical trials are needed. Although the outcomes suggest improved sexual function and quality of life post-surgery, the evidence remains limited. Advocating surgical reconstruction for survivors of FGM is vital for addressing health disparities and potential cost-effectiveness.
OBJECTIVE: This scoping review, guided by Joanna Briggs Institute (JBI) principles, explores indications, referral routes, eligibility, care pathways and clinical outcomes of reconstructive surgery for FGM.
METHODS: Medical Subject Headings (MeSH) terms and subject headings were searched in EMBASE, MEDLINE, SCOPUS, Web of Science and publicly available trial registers.
METHODS: Any primary experimental and quasi-experimental study addressing reconstructive surgery for FGM, and its impact on women, published before June 2023.
METHODS: After removing duplicates from the search results, titles and abstracts were screened and data were extracted. Disagreements were resolved through panel discussion. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flow diagram depicts the search results and inclusion process.
RESULTS: A total of 40 studies were included. Multidisciplinary teams were involved in 40% (16/40) of the studies, and psychosexual counselling was offered in 37.5% (15/40) of studies. Clitoral reconstruction using Foldes\' technique was predominant (95%, 38/40). A total of 7274 women underwent some form of reconstruction. Post-surgery improvement was reported in 94% of the cases (6858/7274). The complication rate was 3% (207/7722 women with reconstruction).
CONCLUSIONS: Further research and clinical trials are needed. Although the outcomes suggest improved sexual function and quality of life post-surgery, the evidence remains limited. Advocating surgical reconstruction for survivors of FGM is vital for addressing health disparities and potential cost-effectiveness.
摘要：
背景：女性生殖器切割（FGM）是全球公共卫生问题。然而,重建手术在许多国家仍然不可用。
目的：本范围审查，由乔安娜·布里格斯研究所（JBI）原则指导，探索适应症，转介路线,资格,FGM重建手术的护理路径和临床结果。
方法：在EMBASE中搜索医学主题词（MeSH）术语和主题词，MEDLINE,Scopus,WebofScience和公开可用的试用登记册。
方法：任何涉及FGM重建手术的主要实验和准实验研究，以及它对女性的影响，2023年6月前出版。
方法：从搜索结果中删除重复项之后，筛选标题和摘要并提取数据.通过小组讨论解决了分歧。系统评价和荟萃分析的首选报告项目（PRISMA）流程图描述了搜索结果和纳入过程。
结果：共纳入40项研究。多学科团队参与了40%(16/40)的研究，37.5%(15/40)的研究提供了性心理咨询。使用Foldes\'技术的阴蒂重建是主要的(95%，38/40)。共有7274名妇女接受了某种形式的重建。在94%的病例中报告了术后改善(6858/7274)。并发症发生率为3％（207/7722例妇女重建）。
结论：需要进一步的研究和临床试验。尽管结果表明术后性功能和生活质量得到改善，证据仍然有限。提倡为FGM幸存者进行手术重建对于解决健康差异和潜在的成本效益至关重要。
目的：本范围审查，由乔安娜·布里格斯研究所（JBI）原则指导，探索适应症，转介路线,资格,FGM重建手术的护理路径和临床结果。
方法：在EMBASE中搜索医学主题词（MeSH）术语和主题词，MEDLINE,Scopus,WebofScience和公开可用的试用登记册。
方法：任何涉及FGM重建手术的主要实验和准实验研究，以及它对女性的影响，2023年6月前出版。
方法：从搜索结果中删除重复项之后，筛选标题和摘要并提取数据.通过小组讨论解决了分歧。系统评价和荟萃分析的首选报告项目（PRISMA）流程图描述了搜索结果和纳入过程。
结果：共纳入40项研究。多学科团队参与了40%(16/40)的研究，37.5%(15/40)的研究提供了性心理咨询。使用Foldes\'技术的阴蒂重建是主要的(95%，38/40)。共有7274名妇女接受了某种形式的重建。在94%的病例中报告了术后改善(6858/7274)。并发症发生率为3％（207/7722例妇女重建）。
结论：需要进一步的研究和临床试验。尽管结果表明术后性功能和生活质量得到改善，证据仍然有限。提倡为FGM幸存者进行手术重建对于解决健康差异和潜在的成本效益至关重要。
