基于阴茎重建经验教训的阴茎再植技术建议。
Technical recommendations for penile replantation based on lessons learned from penile reconstruction.
机构信息
Department of Plastic and Reconstructive Surgery, University Hospital Gent, Gent, Belgium.
出版信息
J Reconstr Microsurg. 2012 May;28(4):247-50. doi: 10.1055/s-0032-1306373. Epub 2012 Mar 7.
PMID:22399258
Abstract
Penile amputation is an exceptional surgical emergency. Immediate replantation yields a high success and low complication rate. We report a case of a self-inflicted penile amputation treated with successful microsurgical replantation. Postoperative edema caused minor skin slough and temporary venous congestion was treated with medicinal leech therapy. Follow-up at 18 months showed normal subjective sensation; voiding and erectile function were present. Surgical management and technique refinements are discussed, based on a review of the literature and on our experience in penile reconstruction.
摘要
阴茎离断是一种特殊的外科急症。即时再植可获得较高的成功率和较低的并发症发生率。我们报告了一例成功施行显微外科再植术治疗的自伤性阴茎离断病例。术后水肿导致轻微的皮肤坏死，静脉暂时淤血采用医用水蛭疗法治疗。18 个月随访显示，患者主观感觉正常，排尿和勃起功能正常。我们根据文献复习和阴茎重建经验讨论了手术治疗和技术改进。
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