Figure 2: (a) Bilateral labial incisions markings. (b) Exposure and excision of the left ischiopubic ramus (hollow black arrow). (c) Exposure and excision of the right ischiopubic ramus (hollow black arrow). (d) Post-excisional defect on both sides of labia majora (hollow black arrows). (e) Vaginal pack of about 6 cm girth kept in the vaginal space. (f) Excised bone fragments from bilateral ischiopubic rami