Thomas J A, Matanhelia S S, Dickson W A, Rees R W, Matthews P N
Department of Urology, University Hospital of Wales, Cardiff, UK.
Br J Urol. 1995 Feb;75(2):214-9. doi: 10.1111/j.1464-410x.1995.tb07314.x.
To examine the methods used to obtain skin closure after radical surgery for carcinomas of the penis, with special reference to the rectus abdominis myocutaneous flap.
Over a 20 year period, 21 patients underwent surgery for carcinomas of the penis. Seven had advanced tumours, requiring radical surgery for complete local tumour control. The resulting wounds were repaired with scrotal skin transfer in three patients and with a rectus abdominis myocutaneous flap in the other four.
These methods of repair were a 100% reliable, all wounds being healed within 10 days.
Scrotal skin transfer is a simple and effective method of achieving wound closure. Where removal of the scrotum is required along with curative or palliative surgery, and after ilio-inguinal lymphadenectomy, a rectus abdominis myocutaneous flap is useful for skin closure.
探讨阴茎癌根治术后获得皮肤闭合的方法，特别提及腹直肌肌皮瓣。
在20年期间，21例患者接受了阴茎癌手术。7例患有晚期肿瘤，需要进行根治性手术以实现局部肿瘤的完全控制。3例患者的伤口通过阴囊皮肤转移修复，另外4例则采用腹直肌肌皮瓣修复。
这些修复方法100%可靠，所有伤口均在10天内愈合。
阴囊皮肤转移是实现伤口闭合的一种简单有效的方法。在根治性或姑息性手术以及髂腹股沟淋巴结清扫术后需要切除阴囊时，腹直肌肌皮瓣有助于皮肤闭合。
