Salvage of a complicated penis replantation using bipedicled scrotal flap following a prolonged ischaemia time.
J Plast Reconstr Aesthet Surg
; 63(8): e639-43, 2010 Aug.
Article
em En
| MEDLINE
| ID: mdl-20189899
ABSTRACT
Microsurgical replantation is the standard method to treat penile amputation. The loss of variable area of skin is a common complication following penile replantation due to prolonged ischaemia time, postoperative venous congestion, oedema and wound infection. There is limited literature available on the management of complications following replantation. A skin graft is commonly used to resurface the denuded areas after skin necrosis. However, this simple and rapid approach has some inherent disadvantages, including paresthesia, contracture, mismatched skin colour and disfiguring donor site. In this report, we present the salvage of a replanted penis by a bipedicled scrotal flap in which the skin fragment was necrosed due to prolonged ischaemia time. Cosmetic and functional outcomes in the 1-year follow-up period were satisfactory.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pênis
/
Reimplante
/
Escroto
/
Retalhos Cirúrgicos
/
Terapia de Salvação
/
Amputação Traumática
/
Isquemia
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
J Plast Reconstr Aesthet Surg
Ano de publicação:
2010
Tipo de documento:
Article