|
第57卷 第2期 2024-3
Necrotizing fasciitis resulted from foreign body ingestion and intestinal perforation in an incisional hernia: Report of a case |
......................... |
|
第57卷 第2期 2024-3
Application of artificial intelligence in endodontic microsurgery |
......................... |
|
第57卷 第2期 2024-3
A rare case of cerebral metastasis of malignant peripheral nerve sheath tumor in a patient with neurofibromatosis type 1 |
......................... |
|
第57卷 第2期 2024-3
Ethic in commenting and clinical surgery journal publication: Emerging issue in the era of social media—A story from “Beall” to “Jaime” and independent researcher |
......................... |
|
第57卷 第2期 2024-3
Ophidascaris robertsi, the new emerging human parasite and neurosurgery |
......................... |
|
第57卷 第2期 2024-3
Tetanus toxoid IgG, usefulness in clinical surgery, and diagnostic property limitation |
......................... |
|
第57卷 第2期 2024-3
Deaths among surgeons while on duty: An important issue in surgery and occupational medicine that should not be disregarded |
......................... |
|
第57卷 第2期 2024-3
ChatGPT and its use in clinical surgery: A comment on its pro and con |
......................... |
|
第57卷 第2期 2024-3
Isolated spinal neurocysticercosis and pseudotumor cerebri: Tropical problem to be noted |
......................... |
|
第57卷 第2期 2024-3
Management of massive hemothorax resulting from traumatic diaphragm rupture with kidney avulsion injury by combined anterior thoracoabdominal approaches |
......................... |
|
第57卷 第2期 2024-3
Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation: A case report and literature review |
......................... |
|
第57卷 第2期 2024-3
Using three-dimensional versus two-dimensional laparoscopy in sleeve gastrectomy: A case matched comparison |
......................... |
|
第57卷 第2期 2024-3
Effectiveness of placing prophylactic mesh with the Sugarbaker technique via laparoscopic abdominoperineal resection for rectal cancer: 1-year results |
......................... |
|
第57卷 第2期 2024-3
Nylon cable ties–assisted delay primary closure of fasciotomy wound in patients of forearm compartment syndrome |
......................... |
|
第57卷 第2期 2024-3
Prefabricated venous fl ap, an advanced free venous fl ap for distant transfer: An experimental rat study |
......................... |
|
第57卷 第1期 2024-1
Isolated lower leg monoplegia due to traumatic intraparenchymal hemorrhage |
......................... |
|
第57卷 第1期 2024-1
Reflections on the association between cholecystectomy, cholelithiasis, and colorectal cancer |
......................... |
|
第57卷 第1期 2024-1
Molluscum contagiosum, false positive, and incidence: Concern in surgery |
......................... |
|
第57卷 第1期 2024-1
New form of COVID-19 vaccine: A new advanced technology for fighting the remained problem |
......................... |
|
第57卷 第1期 2024-1
COVID-19 vaccination, acute appendicitis, interrelationship, and jointed probability: A concern |
......................... |
|
|
篇名 |
Single-Stage Repair of Extensive External Genital Defects by Superficial Circumflex Iliac Artery Perforator-Based Island Groin Flap |
作者 |
Chen-Kun Chen, Wen-Ming Hsu, Yu-San Lin, Wai-Nang Chao, Tun-Yi Shih, Chien-Liang Liu |
卷期/出版年月 |
43卷2期 (2010/4) |
頁次 |
72-80 |
摘要 |
Objectives: Skin grafts and flaps have been widely used for the reconstruction of
partial external genital defects of various etiologies. But there are limitations,
especially in the choice of donor site areas and with regard to postoperative daily
care, which are caused by underlying medical conditions and extremely young or old
ages. We describe the use of a single-stage, partially de-epithelialized, superficial
circumflex iliac artery (SCIA) perforator-based island groin flap to reconstruct in
such cases with extensive external genital defects.
Methods: From January 2003 to July 2006, six male patients received SCIA
perforator-based island groin flaps for reconstruction. The mean age was 40.0 years
(range 2-65 years). The average body mass index was 22.02 (range 15.7-26.7). The
defects requiring reconstruction were those following surgery for Fournier’s
gangrene in four adults and those caused by hypospadias with penile skin loss in two
children. The flap dimensions ranged from 3 13 to 7 25 cm. The reconstructive
areas included the penile shaft, scrotum and perineum.
Results: The average follow-up period was 18 months (range 17-59 months). The
flaps survived well in all patients except two who underwent reconstruction after
surgery for Fournier gangrene. These two patients had small areas of marginal
necrosis which needed further debridement and delayed closure. In two pediatric
patients, the flaps grew in pace with the penis in the follow-up periods of 2 and 3
years, respectively. Neither flap maceration nor infection was observed. The creases
of the flap and its pliability also improved with time for those ambulatory patients.
Conclusions: The main advantages derived from our experience include the
following: (1) it is a single-stage operation which shortens convalescence; (2) the
cosmetic appearances of both the donor and recepient sites are good, and the
morbidity rate is minimal; (3) the wound in the inguinal area does not affect daily
care; (4) the donor site will not affect the care of the colostomy wound and so the
infection rate decreases; (5) the flap will grow in pace with the penis. Such a procedure perforator-based island groin flap, to reconstruct an extensive external
genital defect has only sparsely been reported. If we can overcome the technical
difficulties in harvesting, our flap design will be a good choice for perineal
reconstruction. |
關鍵詞 |
deepithelialized pedicle, perforator based island flap, groin flap,perineal defect |
分類 |
Original Article |
|