AB024. The penile dermal flap* for defect reconstruction in Peyronie’s disease (PD) deformities
نویسنده
چکیده
© Translational Andrology and Urology. All rights reserved. Transl Androl Urol, 2015;4(S1) www.amepc.org/tau culture procedure with PLGA scaffold; Complex synthetic collagen with elastin (Matriderm); SIS (small intestine submucosa, porcine SIS). 48-72 h; Tissue fluid diffusion, 4 days; circulation and beginning of collagen accumulation. Initial graft survival depends on tissue condition and vascular supply of recipient bed. For stable vascular permeability graft should be anchored to recipient bed tissue. The prerequisites for wound healing; no infection, no hematoma, no seroma. Skin suture with no tension. Dermo-fat thickness less than 1 cm. Minimal incision on Darto’s fascia (external pudendal system). Graft anchoring between internal pudendal system and Buck’s fascia. Successful penile augmentation procedure means not only excellent surgical procedure and good wound healing process, but also patient subjective satisfaction. Preoperative interview with the patient is important for understanding the anatomy, procedure and goal of augmentation surgery. Also the proper selection of graft material is also important factor of successful girth enhancement with graft survival.
منابع مشابه
RECONSTRUCTION OF PENILE SKIN DEFECT BY CUTANEOUS FLAP FROM THE INNER ASPECT OF THE THIGH
Two patients with penile skin loss who were operated in 1991 are reviewed retrospectively. In both of them skin grafting was mandatory (due to large skin defects on the penile shaft). Causative factors were localized infection in one case and verrucae accuminata in another. In both cases a random flap from the skin of the inner surface of the thigh was applied. The pedicle flap was later t...
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A 39-year-old male patient presented with an extensive putrescent ulceration of abdominoperineal region infiltrated by advanced penile squamous cell carcinoma. To our knowledge, it is the largest defect after aggressive palliative resection of penile squamous cell carcinoma (pSCC) in the literature, which was 36×23 cm. The defect was divided into three sub-defects, and was repaired by bil...
متن کاملاستفاده از اتوگرافت تونیکا آلبوژینه کرورا اجسام غاری جهت درمان بیماری پیرونی: نتایج پیگیری یک ساله
Background : The etiolog y, pathophysiology and treatment of Peyronie’s disease remain unknown. Few medical therapies have positive effect on this condition. However, penile curvature is the major symptom of Peyronie’s disease, which can be treated by surgical reconstruction. There are many surgical techniques for correcting penile deformity but ther e is the lack of a gold standard procedure...
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Background: Lip carcinoma is a common cancer with a good prognosis and when patients refer early in the course of disease the results of treatment are acceptable. Surgical procedures for reconstruction of lip defects are the use of remaining lip tissue, tissue from the opposite lip, adjacent cheek tissue, distant flaps and microvascular free flaps. The bitemporal (visor) flap is a regional...
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