دورية أكاديمية
Is a pedicular flap coupled to the double turnover flaps urethroplasty suitable for urethral-perineal reconstruction? Considerations about a relapsing urethral-cutaneous fistula condition.
| العنوان: | Is a pedicular flap coupled to the double turnover flaps urethroplasty suitable for urethral-perineal reconstruction? Considerations about a relapsing urethral-cutaneous fistula condition. |
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| المؤلفون: | Borgognone A; Operative Unit of Plastic Surgery and Burns, S. Eugenio - C.T.O. Hospital, Rome, Italy., Santi GD; Operative Unit of Plastic Surgery and Burns, S. Eugenio - C.T.O. Hospital, Rome, Italy., Baffigo G; Operative Unit of Neuro- Urology, S. Eugenio - C.T.O. Hospital, Rome, Italy., Capobianco SV; Spinal Cord Unit, S. Eugenio - C.T.O. Hospital, Rome, Italy., Goletti S; Operative Unit of Radiology, S. Eugenio - C.T.O. Hospital, Rome, Italy. |
| المصدر: | JPRAS open [JPRAS Open] 2023 Aug 19; Vol. 38, pp. 91-97. Date of Electronic Publication: 2023 Aug 19 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101680420 Publication Model: eCollection Cited Medium: Internet ISSN: 2352-5878 (Electronic) Linking ISSN: 23525878 NLM ISO Abbreviation: JPRAS Open Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Amsterdam, The Netherlands] : Elsevier Ltd., [2015]- |
| مستخلص: | Background: This study highlights the effectiveness, in one surgical stage, of two combined local techniques for perineal fistula repair in a patient with spinal cord injury: the " Turn over flaps urethroplasty" and the " Pedicular fasciocutaneous flap" from the inferior gluteal fold. Unlike the traditional Perforator flap , we harvested a Pedicular flap ; by definition, this is a flap with a narrow diffuse microvascular supply aimed in our case at shielding the neourethra and substituting the remaining scarred perineum. Method: The urethroplasty technique adopted, the 'Double turn over flaps urethroplasty', has been based on sculpting two opposing local cutaneous flaps circumscribing the fistulous cutaneous openings. Eventually, the neourethra continuity has been re-established by turning over both flaps and making them meet medially. The dimension and thickness of the " Pedicular fasciocutaneous flap", have been considered to prevent any damage to the urethroplasty and at the same time to replace all the debrided scarred perineal tissue. Results: The follow-up confirmed a well-consolidated supple perineal area and a competent neourethra. Conclusions: The " Pedicular flap" is by definition a random vascular flap nourished through a narrow pedicle, not based on a single perforator but only on a diffuse, spread micro-perforators. When associated with the double " Turn over flaps urethroplasty" , it represents a possible alternative to achieve satisfactory results for those physical and psychological challenges encountered in the treatment of recurrent urethral fistula of the perineum in a patient with spinal cord injury. Competing Interests: For each and any Authors of the article there are no author disclosures or conflicts of interest to declare. (© 2023 The Author(s).) |
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| فهرسة مساهمة: | Keywords: Cutaneous bulbar urethral fistula; Double turnover flaps urethroplasty; Gluteal inferior fasciocutaneous flap; Local skin flaps for bulbar urethroplasty; Pedicular fasciocutaneous flap; Perineal reconstruction in patient with spinal cord injury; Perineum reconstruction; Urethral–cutaneous fistula |
| تواريخ الأحداث: | Date Created: 20230925 Latest Revision: 20230926 |
| رمز التحديث: | 20230926 |
| مُعرف محوري في PubMed: | PMC10514385 |
| DOI: | 10.1016/j.jpra.2023.08.002 |
| PMID: | 37745010 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 2352-5878 |
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| DOI: | 10.1016/j.jpra.2023.08.002 |