阴茎离断再植的挑战与并发症。

The challenges and complications of re-implantation of the penis following amputation.

机构信息

All India Institute of Medical Sciences, New Delhi-110029, India.

出版信息

Ghana Med J. 2022 Mar;56(1):51-54. doi: 10.4314/gmj.v56i1.9.

DOI:10.4314/gmj.v56i1.9

PMID:35919783

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9334948/

Abstract

UNLABELLED

Amputation of the penis is a rare and devastating injury. The etiologies vary from accidental, self-inflicted to attacks due to sexual jealousy and revenge. In the present era of microvascular surgery, replantation is the standard care. However, replantation of the penis comes with its own set of difficulties and complications. Knowledge of the anatomy and prior knowledge of the possible complications makes the surgeon aware of the course of events after a replantation. It helps in devising strategies to overcome these challenges methodically. We present a case of penile replant with the complications that we encountered, and the measures are taken to counter them on our way to a successful outcome.

FUNDING

No external funding.

摘要

背景

阴茎离断是一种罕见且破坏性极大的损伤。其病因各异，包括意外、自残、因性嫉妒和报复导致的损伤。在当前的显微血管外科时代，再植是标准的治疗方法。然而，阴茎再植存在一系列自身的困难和并发症。对解剖结构的了解和对可能出现的并发症的事先认识，使外科医生能够了解再植后的病程。这有助于系统地制定克服这些挑战的策略。我们报告了一例阴茎再植病例，以及我们遇到的并发症，并介绍了在取得成功的过程中采取的应对措施。