PURPOSE We review the applications and outcomes of penile circular fasciocutaneous flap urethroplasty in 66 patients at our institution. MATERIALS AND METHODS We used a circular distal penile skin flap for urethral reconstruction in 66 men with complex urethral strictures. Average stricture length in this series was 9.08 cm. and mean followup was 41 months (range 1 to 7 years). RESULTS The ...

Flap transplantation has been an important procedure in plastic and reconstructive surgery to cover and fill various defects. Flap necrosis due to blood circulation failure leads to severe complications, especially in a patient undergoing reconstruction concerning the body cavity after tumor ablation. Surgical procedures for flap transplantation have been further improved and developed. We have...

OBJECTIVE To develop a reproducible free-flap animal model to study the effects of irradiation on flap revascularization. DESIGN After institutional animal care and use committee review and approval, 16 Sprague-Dawley rats were subjected to either 23- or 40-Gy electron beam irradiation to their ventral abdominal wall. After a recovery period, the animals then underwent a ventral fasciocutaneo...

IMPORTANCE Appropriate coverage of defects that expose tendon, joints, and/or neurovascular structures is necessary to preserve optimal hand function. Local, random-pattern flaps and skin grafts may be inadequate because of the hand's finite skin reservoir or the presence of a poorly vascularized and mobile wound bed. Described herein is a novel method of dorsal hand reconstruction. OBSERVATI...

METHODS: A retrospective chart review was performed at a tertiary academic medical center for all patients who underwent microvascular surgery of the scalp from July 2011 through December 2016. Reconstructions were evaluated by type of flap utilized (myofascial, myocutaneous, fasciocutaneous, or osteocutaneous) as well as type of cranial reconstruction performed (titanium implant, polyetherethe...

With the patient remaining in a supine position throughout surgery, the left mastectomy with skin excision was performed. Planning in reverse, a fasciocutaneous flap from the contralateral breast based on the right 2nd internal mammary artery perforator was designed. The flap was raised in the mastectomy plane, isolated on the perforator, and transposed into the defect in a propeller fashion. T...

Sarday, M ay 6, 2017 moyamoya disease (6). Flaps included flow through radial forearm fasciocutaneous flaps (2), a flow through radial forearm fascial flap (1) and flow through pedicled temporoparietal fascial flaps (4). The superficial temporal vessels (6) and facial vessels (1) were used as the recipient site pedicle. Flow through reperfusion was established into the middle cerebral artery (5...

A series of eight axillary skin defect reconstructions in seven patients using the lateral thoracic island fasciocutaneous flap is presented. The defects originated from wide excision of recurrent hidradenitis axillaris suppurativa and in one case from radical melanoma resection with axillary lymph node clearance. The technique used to cover the resulting large defects is advancement or transpo...

BACKGROUND Free and pedicled medial and lateral thigh-based flaps are common reconstructive procedures. However, there have been no comparative studies of morbidity between medial and lateral donor sites. METHODS We conducted an Enterprise Data Warehouse-based review of all the senior authors' (R.D.G., G.A.D., and M.S.A.) thigh-based free and pedicled flaps. Patient demographic data, donor-si...