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使用双侧阴囊前动脉逆行皮瓣进行阴茎再植术:一例包皮环切术后阴茎皮肤缺损的病例报告。

Penile resurfacing using a reverse bilateral anterior scrotal artery flap: A case report of penile skin defects following circumcision.

作者信息

Gao Qing-Guo, Qu Wenrui

机构信息

Department of Hand surgery, the second Hospital of Jilin University, Changchun.

Department of Plastic and Reconstructive Microsurgery, China-Japan Union Hospital of Jilin University, Changchun, Jilin province, China.

出版信息

Medicine (Baltimore). 2019 Dec;98(49):e18106. doi: 10.1097/MD.0000000000018106.

Abstract

RATIONALE

Circumcision is one of the most frequently used surgical procedures worldwide. Extensive penile skin defects, which can occur as a rare but severe complication of circumcision, are serious and frustrating problems for patients who experience them. Procedures for correcting these problems can pose a challenge to plastic surgeons in the clinic.

PATIENT CONCERNS

A 31-year-old man was admitted to our care with an extensive defect of the penile skin caused by a circumcision performed 20 days previously.

PRIMARY DIAGNOSES

Infection, necrosis, and defects of the penile skin.

INTERVENTIONS

A reverse bilateral anterior scrotal flap was used to correct complete penile skin loss following debridement of the infected and necrotic tissue.

OUTCOMES

The patient experienced no complications during the 10-year follow-up period. The patient reported normal erectile function and the ability to perform intercourse.

LESSONS

The reverse bilateral anterior scrotal artery flap is suitable for repairing skin defects of the penis and allows for satisfactory cosmetic and functional improvement following defects of the penile skin.

摘要

理论依据

包皮环切术是全球最常用的外科手术之一。广泛的阴茎皮肤缺损是包皮环切术罕见但严重的并发症,对于经历此并发症的患者来说是严重且令人沮丧的问题。在临床上,纠正这些问题的手术对整形外科医生构成挑战。

患者情况

一名31岁男性因20天前进行的包皮环切术导致阴茎皮肤广泛缺损而入院接受治疗。

主要诊断

阴茎皮肤感染、坏死及缺损。

干预措施

在清除感染和坏死组织后,采用双侧阴囊前反向皮瓣修复阴茎皮肤完全缺失。

结果

患者在10年随访期间未出现并发症。患者报告勃起功能正常且能够进行性交。

经验教训

双侧阴囊前反向动脉皮瓣适用于修复阴茎皮肤缺损,可在阴茎皮肤缺损后实现令人满意的美容和功能改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0223/6919477/8b2f97180bad/medi-98-e18106-g001.jpg

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