ABSTRACT
ABSTRACT Purpose: Reviewing surgical procedures using fasciocutaneous and myocutaneous flaps for inguinal reconstruction after lymphadenectomy in metastatic penile cancer. Material and Methods: We reviewed the current literature of the Pubmed database according to PRISMA guidelines. The search terms used were "advanced penile cancer", "groin reconstruction", and "inguinal reconstruction", both alone and in combination. The bibliographic references used in the selected articles were also analyzed to include recent articles into our research. Results: A total of 54 studies were included in this review. About one third of penile cancers are diagnosed with locally advanced disease, often presenting with large lymph node involvement. Defects in the inguinal region resulting from the treatment of metastatic penile cancer are challenging for the surgeon and cause high patient morbidity, rendering primary closure unfeasible. Several fasciocutaneous and myocutaneous flaps of the abdomen and thigh can be used for the reconstruction of the inguinal region, transferring tissue to the affected area, and enabling tensionless closure. Conclusions: The reconstruction of defects in the inguinal region with the aid of flaps allows for faster postoperative recovery and reduces the risk of complications. Thus, the patient will be able to undergo potential necessary adjuvant treatments sooner.
Subject(s)
Humans , Male , Penile Neoplasms/surgery , Penis/surgery , Surgical Flaps , Inguinal Canal/surgery , Lymph Node Excision , Lymphatic MetastasisSubject(s)
Humans , Male , Female , Tooth Fractures/classification , Tooth Injuries/classification , Tooth Crown/injuries , Dental Enamel/injuries , Dentin/injuries , Dental Pulp Exposure/pathology , Tooth Movement Techniques/classification , Periapical Tissue/pathology , Periodontitis/pathology , Tooth Root/injuries , Tooth Avulsion , Tooth Socket/injuriesSubject(s)
Humans , Male , Female , Tooth Root/injuries , Tooth Fractures/pathology , Tooth Root/surgery , Tooth Root , Tooth FracturesSubject(s)
Humans , Male , Female , Tooth Crown/injuries , Tooth Root/injuries , Tooth Fractures/pathology , Tooth Crown/surgery , Tooth Crown , Tooth Root/surgery , Tooth Root , Tooth FracturesSubject(s)
Humans , Male , Female , Clinical Diagnosis , Tooth Injuries/diagnosis , Analgesics/therapeutic use , Diagnosis, Oral/methods , Dental Pulp Diseases/diagnosis , Dental Pulp Diseases , Pain , Pain/classification , Pain/diagnosis , Pain/drug therapy , Pain/etiology , Palpation/methods , Percussion/methods , Radiography, Dental/methods , Tooth , Tooth/pathology , Tooth InjuriesSubject(s)
Humans , Male , Female , Tooth, Nonvital/physiopathology , Tooth, Nonvital/therapy , Dental Pulp Cavity , Dental Pulp Cavity/physiopathology , Dental Pulp Cavity , Tooth, Nonvital/diagnosis , Tooth, Nonvital/etiology , Tooth, Nonvital/drug therapy , Tooth, Nonvital , Root Canal Obturation/instrumentation , Root Canal Obturation/methods , Root Canal Irrigants/therapeutic use , Root Canal Therapy , Root Canal Therapy/classification , Root Canal Therapy/instrumentationABSTRACT
No presente trabalho, estudou-se comparativamente duas técnicas de instrumentação. Pela análise visual dos ápices, após a obturação conclui-se que a técnica com remoção em lateralidade, foi a que melhor preparou os condutos para receber à obturação