Reconstruction after excision of locoregionally recurrent penile cancer can be a surgical challenge. In this short study, we present two cases perineal reconstruction using bilateral gracilis flaps supplemented by abdominal advancement for salvage cancer, reviewing relevant literature and outlining our local approach to the perineum.

Received for publication June’ 2009 ... ........................... Purpose: To compare the success rate of external dacryocystorhinostomy (with intubation) with suturing of the posterior flaps and without suturing of the posterior flaps. Material and methods: A prospective comparative study of 70 patients attending the Ophthalmology Department Military Hospital Rawalpindi between Dec 2005 and ...

BACKGROUND There are different flaps based on the branches of the maxillary artery. Flaps based on the maxillary artery branches can be used for oral cavity reconstruction in selected cases, but there is lack of comprehensive review in this topic. METHODS A literature review was performed on Medline for maxillary artery based flaps and oral cavity reconstruction. Surgical techniques for each ...

background mainstay of post-burn reconstruction is release and split skin grafting. pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. free flaps are technically demanding and facilities are not universally available. here we evaluated the local perforator flaps for post-burn reconstruction. methods we have used sixteen perforator propellar flaps for p...

BACKGROUND Scalp defects may be caused by various etiological factors, and they represent a significant surgical and aesthetic concern. Various surgical techniques can be applied for reconstructive work such as primary closure, skin grafting, pedicled or free flaps. In this article, the authors share their clinical experience with scalp operations using the technique of local flaps and discuss ...

INTRODUCTION Diabetic foot ulcers occur in approximately 2,5% of patients suffering from diabetes and may lead to major infections and amputation. Such ulcers are responsible for a prolonged period of hospitalization and co- morbidities caused by infected diabetic foot ulcers. Small, superficial ulcers can be treated by special conservative means. However, exposed bones or tendons require surgi...

BACKGROUND One of the main challenges in skin flap surgery is tissue ischemia and following necrosis. The present study compares the effects of fibroblast growth factors 1 and 2 on increasing cutaneous vasculature, improving ischemia, and preventing distal necrosis in ischemic skin flaps in rat model. METHODS Thirty rats were allocated into 3 groups (n=10) and 2×8 cm dorsal rando...

Background:   To introduce our experience of using the free neurovascular flap from great and second toe. Methods:   Thirteen patients (fifteen fingers) sought surgical treatment for soft tissue defects of the hand at our medical institutin between March 2006 and September 2009. In two patients, fibular side skin-nail flaps of great toe were applied to cover the dorsal defect of distal thumb. I...

PURPOSE To evaluate the outcome of the modified technique of external dacrycystorhinostomy with anterior flaps anastomosis only. METHODS This prospective study included 52 patients with lacrimal drainage system disorders who underwent the modified technique of external dacrycystorhinostomy with anterior flaps anastomosis only. In this modified procedure of external dacryocystorhinostomy, anas...