Perović S
Department of Pediatric Surgery and Urology, University Children's Hospital, Belgrade, Yugoslavia.
Eur J Pediatr Surg. 1995 Apr;5(2):94-100. doi: 10.1055/s-2008-1066176.
A variant of the only island flap urethroplasty in severe hypospadias repair is described. The principles of technique are: mobilizing of urethral plate, without dividing it, in order to release chordee; creation of pedicle island flap on the dorsal penile skin, with redundant vascularized tissue, which is transposed to the ventral side of penis by buttonhole maneuver; the flap is onlayed to the mobilized urethral plate, while all suture lines are covered with a very wide pedicle of flap, which is decisive for the successful outcome of the operation. During the last 3.5 years (1990-June 1993) the technique was applied in 124 cases of severe hypospadias, aged 12 months to 19 years, with lower complication rate (stricture, fistulas, diverticulum) in comparison to island flap tubularizing urethroplasty (5-15% of patients).
本文描述了一种用于重度尿道下裂修复的唯一岛状皮瓣尿道成形术的变体。该技术的原则是：在不切断尿道板的情况下对其进行游离，以松解阴茎下弯；在阴茎背侧皮肤上制作带蒂岛状皮瓣，带有多余的血管化组织，通过纽扣孔操作将其转移至阴茎腹侧；将皮瓣覆盖于游离的尿道板上，同时所有缝合线均被非常宽的皮瓣蒂覆盖，这对手术的成功结果起决定性作用。在过去3.5年（1990年至1993年6月），该技术应用于124例年龄在12个月至19岁的重度尿道下裂患者，与岛状皮瓣管状化尿道成形术相比，并发症发生率较低（狭窄、瘘管、憩室）（患者比例为5% - 15%）。
